Gregory I Gordon, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

21229 Issued in NE

Practice address

981045 Nebraska Medical Ctr
Omaha, NE 68198-1045

Phone

(402) 559-1343

Fax

(402) 559-1340

NPI assigned

Mar 8, 2006

Last updated

Sep 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE, IA2 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

Interventional Radiology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular and Interventional Radiology of SiouxlandGroup PAC ID 7113330663, 24 clinicians

Ovc Physician Partners LLCGroup PAC ID 1557617875, 3 clinicians

Montgomery County Memorial HospitalGroup PAC ID 9032015805, shared by 7 NPIs, 43 clinicians

Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians

Grand Island Radiology Associates PCGroup PAC ID 7719978261, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montgomery County Memorial Hospital Hospital, Red Oak, IA, CCN 161363
• Community Medical Center, Inc Hospital, Falls City, NE, CCN 281352
• Gothenburg Health Hospital, Gothenburg, NE, CCN 281313
• Brodstone Healthcare Hospital, Superior, NE, CCN 281315
• Tri Valley Health System Hospital, Cambridge, NE, CCN 281348

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grand Island Radiology Associates PC

  dba Heartland Radiology

  • Diagnostic Radiology Physician
  • Grand Island, NE
  • NPI 1932136405

  IA

  Medicare reassignment Care Compare group NPD
• Ovc Physician Partners, LLC

  • Clinic/Center
  • Omaha, NE
  • NPI 1750894853
  Medicare reassignment Care Compare group NPD
• Plains Radiology Services LLC

  dba Universal Imaging Services

  • Diagnostic Radiology Physician
  • Grand Island, NE
  • NPI 1164677126

  IA

  Medicare reassignment Care Compare group NPD
• Vascular & Interventional Radiology of Siouxland

  dba Black Hills Heart & Vascular Clinic

  • Vascular Surgery Physician
  • Dakota Dunes, SD
  • NPI 1225636129

  IA, NE

  Medicare reassignment Care Compare group
• United Vascular of Omaha LLC

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
  • NPI 1326551623
  Medicare reassignment NPD
• Montgomery County Memorial Hospital

  • Internal Medicine Physician
  • Red Oak, IA
  • NPI 1265405310
  Medicare reassignment NPD
• Montgomery County Memorial Hospital

  • Critical Access Hospital
  • Red Oak, IA
  • NPI 1376539338
  Medicare reassignment NPD
• Sage Medical Prof LLC

  • Vascular Surgery Physician
  • Dakota Dunes, SD
  • NPI 1588156657

  NE

  Medicare reassignment NPD
• Advanced Vascular and Vein Center LLC

  • Vascular Surgery Physician
  • Omaha, NE
  • NPI 1679767610

  IA

  Medicare reassignment
• Radiology Associates PC

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1548227036

  IA

  Medicare reassignment
• Montgomery County Memorial Hospital

  dba MCMH Pharmacy

  • Community/Retail Pharmacy
  • Red Oak, IA
  • NPI 1699887547
  NPD
• Lincoln Radiology Group P C

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1275587602
  NPD (past)

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

• Brodstone Memorial Hospital

  dba Brodstone Healthcare

  • Critical Access Hospital
  • Superior, NE
  • NPI 1306842604
  Care Compare affiliation
• Cambridge Memorial Hospital Inc

  dba Tri Valley Health System

  • Critical Access Hospital
  • Cambridge, NE
  • NPI 1548333214
  Care Compare affiliation
• Community Medical Center, Inc.

  • Critical Access Hospital
  • Falls City, NE
  • NPI 1881643484
  Care Compare affiliation
• Gothenburg Memorial Hospital

  dba Gothenburg Health

  • Critical Access Hospital
  • Gothenburg, NE
  • NPI 1922051531
  Care Compare affiliation
• Montgomery County Memorial Hospital

  • Critical Access Hospital
  • Red Oak, IA
  • NPI 1376539338
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1205804267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981045 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681981045",
            "telephone_number": "402-559-1343",
            "fax_number": "402-559-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981045 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681981045",
            "telephone_number": "402-559-1343",
            "fax_number": "402-559-1340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17404 Burke St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681182242",
            "country_code": "US",
            "telephone_number": "531-466-4260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "GREGORY",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-29913",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "36092986",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2001004974",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NE",
            "license": "21229",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IA",
            "license": "MD-42327",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470785575",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "098605120",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092986",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chenel D Gordon
• Chidae Seville Gordon
• Denai Gordon, MD
• Denise Nan Gordon, CRNA
• Erica Gordon
• Laura Schmadeke Gordon, DDS
• Leonard Ray Gordon
• Madeline Lorraine Gordon
• Malynda Ann Gordon
• Marvis Gordon

• Vascular & Interventional Radiology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Vascular & Interventional Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.