Individual provider Active NPI

Irit W Gordon, M.D.

  • Emergency Medicine Physician
  • Aurora, CO
National Provider Identifier
1063490985
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25892 Issued in CO
Practice address
2550 S Parker Rd
Ste 206
Aurora, CO 80014-1622
Phone
(303) 306-7783
Fax
(303) 306-7753
NPI assigned
Jan 3, 2006
Last updated
May 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25892 CO Primary

Addresses

Primary practice location

2550 S Parker Rd
Ste 206
Aurora, CO 80014-1622

Mailing address

901 W Hampden Ave
Unit 103
Englewood, CO 80110-7330
Phone (303) 306-7783

Other identifiers 1

IdentifierTypeStateIssuer
01258920MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25892COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Urgent Care Physicians, PC CurrentSince Feb 13, 2012 Accepting new patients
Colorado Urgent Care Physicians, PC CurrentSince Feb 13, 2012 Accepting new patients

Locations

5102 S Broadway
Englewood, CO 80113
Phone (720) 457-9100

901 W Hampden Ave
Unit 103
Englewood, CO 80110
Phone (303) 761-1699

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1063490985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W HAMPDEN AVE",
            "address_2": "UNIT 103",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801107330",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S PARKER RD",
            "address_2": "STE 206",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141622",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "IRIT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "25892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01258920",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.