Renauldo Gordon

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

XXXXXXXX Issued in NY

Practice address

1503 Saint Johns PL
Brooklyn, NY 11213-3910

Phone

(646) 673-1317

NPI assigned

Jul 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal MedicineAlso: Hospitalist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Comprehensive Hospitalist Services of Arizona LLCGroup PAC ID 8820138076, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
• Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Comprehensive Hospitalist Services of Arizona LLC

  • Hospitalist Physician
  • Mesa, AZ
  • NPI 1689909780
  Medicare reassignment Care Compare group NPD
• Hospital Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857
  Medicare reassignment Care Compare group NPD
• Comprehensive Hospitalist Services of Arizona, LLC

  • Hospitalist Physician
  • Bullhead City, AZ
  • NPI 1265823215
  NPD
• Bullhead City Hospital Corporation

  dba Western Arizona Regional Medical Center

  • General Acute Care Hospital
  • Bullhead City, AZ
  • NPI 1255302766
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bullhead City Hospital Corporation

  dba Western Arizona Regional Medical Center

  • General Acute Care Hospital
  • Bullhead City, AZ
  • NPI 1255302766
  Care Compare affiliation
• Bullhead City Hospital Corporation

  dba Fox Creek Urgent Care

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
  • NPI 1780996223

  Hospital

  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  dba HCA Florida Oak Hill Hospital

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1013961838
  Care Compare affiliation

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1073998670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 SAINT JOHNS PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112133910",
            "telephone_number": "646-673-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 SAINT JOHNS PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112133910",
            "telephone_number": "646-673-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RENAULDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "XXXXXXXX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirit Gordon, M.A.
• Oxana Gordon, NP
• Patrick A. Gordon, MD
• Philippa Ruth Gordon, MD
• Rachel Gordon
• Ronald Jeffery Gordon, MD
• Ruthmae Gordon
• Samantha Ariel B.G. Gordon, LMSW
• Sandra Gordon, LMSW
• Sandra R Gordon

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.