Robert M Gordon, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

16378 Issued in OK

Practice address

4200 W Memorial Rd
Suite 805
Oklahoma City, OK 73120-9350

Phone

(405) 286-5946

Fax

(888) 990-1791

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

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 1

Specialty

Pulmonary DiseaseAlso: Internal Medicine

Education

University of Oklahoma College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gordon.robertmgordon@128049.advancedmd-direct.com

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.

• McBride Clinic Orthopedic Hospital, LLC

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1659413649

  OK

  Medicare reassignment
• Robert M. Gordon, M.D., P.L.L.C.

  • Pulmonary Disease Physician
  • Oklahoma City, OK
  • NPI 1265586325

  OK

  Medicare reassignment
• Dedicated Health Oklahoma

  • Specialist
  • Oklahoma City, OK
  • NPI 1770330383

  Pulmonary Disease

  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)
• Dedicated Health Illinois

  • Specialist
  • Lisle, IL
  • NPI 1215784699

  Pulmonary Disease

  NPD (past)
• Dedicated Health Texas

  • Specialist
  • San Antonio, TX
  • NPI 1750138376

  Pulmonary Disease

  NPD (past)
• Dedicated Sleep, LLC

  • Specialist
  • Lisle, IL
  • NPI 1720501760

  Pulmonary Disease

  NPD (past)

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

• Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1184721722

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1093701658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD",
            "address_2": "SUITE 805",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209350",
            "telephone_number": "405-286-5946",
            "fax_number": "888-990-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD",
            "address_2": "SUITE 805",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209350",
            "telephone_number": "405-286-5946",
            "fax_number": "888-990-1791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6868 San Pedro Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782167201",
            "country_code": "US",
            "telephone_number": "872-215-0361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 W Belmont Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573246",
            "country_code": "US",
            "telephone_number": "872-215-0361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2641 Haddassah Dr",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605653067",
            "country_code": "US",
            "telephone_number": "872-215-0361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Warrenville Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lisle",
            "state": "IL",
            "postal_code": "605323646",
            "country_code": "US",
            "telephone_number": "872-215-0361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "J1041",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "16378",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036166087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5791345",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100129830A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin W Gordon, ATC, LAT
• Liliana Gordon
• Michael Scott Gordon, C-PRSS
• Olivia Gordon, LCSW
• Olivia Nicole Gordon
• Rochelle Gordon
• Ronny Keith Gordon Jr., APRN
• Shirrelle Gordon
• Tajaiah Gordon, RBT
• Whitney Nicole Gordon, RN

• Pulmonary Disease Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pulmonary Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.