Individual provider Active NPI

Inna Gordin, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1093866386
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
113620583 Issued in NY
Practice address
1664 E 14TH St Ste 302
Brooklyn, NY 11229-1167
Phone
(718) 382-0500
Fax
(718) 382-7025
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 113620583 NY Primary

Addresses

Primary practice location

1664 E 14TH St Ste 302
Brooklyn, NY 11229-1167

Mailing address

1664 E 14TH St Ste 302
Brooklyn, NY 11229-1167
Phone (718) 382-0500

Other identifiers 1

IdentifierTypeStateIssuer
01737246MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20091027000784 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 5496892275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2647 Coney Island Ave
FL 1
Brooklyn, NY 11223-5502
Phone (718) 382-0500

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as individual
Quality
72.93
Improvement activities
40
Cost
82.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Upper gastrointestinal (GI) endoscopy for acid reflux78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inna Gordin Medical P.C. Gastroenterology CurrentSince Jun 30, 1995 Accepting new patients
Private Anesthesia Consultant PC PastSince Jun 30, 1995 Accepting new patients
Ig Gastroenterology P.C. Gastroenterology Past Accepting new patients
Igor Amigud Physician P.C. Past Accepting new patients

Locations

2647 Coney Island Ave
Fl 1
Brooklyn, NY 11223
Phone (718) 382-0500

2647 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 743-4450

1664 E 14th St
Ste 302
Brooklyn, NY 11229
Phone (718) 382-0500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGAHAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGAHAA/Endpoint/FGAHAA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093866386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 E 14TH ST STE 302",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291167",
            "telephone_number": "718-382-0500",
            "fax_number": "718-382-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 E 14TH ST STE 302",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291167",
            "telephone_number": "718-382-0500",
            "fax_number": "718-382-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDIN",
        "first_name": "INNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "113620583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01737246",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.