Individual provider Active NPI

Pamela K Gordon, M.D.

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1124013206
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15019 Issued in NV
Practice address
3101 Plumas St
Reno, NV 89509-4515
Phone
(737) 226-6700
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD438281 PA
Family Medicine Physician 207Q00000X 15019 NV Primary

Addresses

Primary practice location

3101 Plumas St
Reno, NV 89509-4515

Mailing address

3901A Spicewood Springs Rd Ste 201
Austin, TX 78759-8728
Phone (737) 226-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20140313000611 NV Practitioner - Family Practice 5496936304 Reassigns benefits to 1 organization
I20240829004102 CA Practitioner - Family Practice 5496936304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Hahnemann University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chapa-de Indian Health Program, Inc.Group PAC ID 4981688520, 54 clinicians

Practice addresses (Care Compare)

11670 Atwood Rd
Auburn, CA 95603-9522
Phone (530) 887-2800

1350 E Main St
Grass Valley, CA 95945-5208
Phone (530) 477-8545

Hospital & facility affiliations

  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
  • Hearthstone Health and Rehabilitation Nursing home, Sparks, NV, CCN 295044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD438281PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela Gordon MD PLLC Family Medicine Current Accepting new patients
Curana Health of Nevada PLLC CurrentSince Jan 11, 2021 Accepting new patients
CH Specialty Services NV Requeijo PC CurrentSince Dec 11, 2023 Accepting new patients
Chapa-de Indian Health Program, Inc. CurrentSince Jul 23, 2024 Accepting new patients
Premier Immediate Medical Care, LLC Past Accepting new patients
Revive Reno LLC Past Accepting new patients

Locations

11670 Atwood Rd
Auburn, CA 95603
Phone (530) 887-2800

1350 E Main St
Grass Valley, CA 95945
Phone (530) 477-8545

917 Mountain St
Carson City, NV 89703
Phone (775) 515-0100

1001 Mountain St
Carson City, NV 89703
Phone (775) 222-0045

5351 Montessouri St
Las Vegas, NV 89113
Phone (702) 251-2200

3101 Plumas St
Reno, NV 89509
Phone (775) 433-2700

3901A Spicewood Springs Rd
Ste 201
Austin, TX 78759
Phone (737) 226-6713

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pamela.gordon@cdih.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHIAD

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1124013206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901A SPICEWOOD SPRINGS RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598728",
            "telephone_number": "737-226-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PLUMAS ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094515",
            "telephone_number": "737-226-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "PAMELA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD438281",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "15019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.