Active NPI
Robert Gordon, M.D.
- Specialist
- Westminster, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D20554
- Practice address
- 826 Washington Rd
Suite 209
Westminster, MD 21157-5750 - Phone
- (410) 840-8203
- Fax
- (410) 751-2816
- NPI assigned
- Aug 23, 2005
- Last updated
- Oct 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D20554 | MD | Primary |
Addresses
Primary practice location
826 Washington Rd
Suite 209
Westminster, MD 21157-5750
Mailing address
826 Washington Rd
Suite 209
Westminster, MD 21157-5750
Phone (410) 840-8203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309904100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Tufts University School of Medicine, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
826 Washington Rd
Westminster, MD 21157-5780
Phone (410) 840-8203
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular and Cardiothoracic Associates of Maryland PA | Specialist | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
826 Washington Rd
Ste 209
Westminster, MD 21157
Phone (410) 486-5901
Interoperability endpoints
- robert.gordon@vacaomp-md.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
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.
-
- Specialist
- Westminster, MD
- NPI 1801920145
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westminster, MD
- NPI 1912904210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1225021546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 WASHINGTON RD",
"address_2": "SUITE 209",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211575750",
"telephone_number": "410-840-8203",
"fax_number": "410-751-2816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 WASHINGTON RD",
"address_2": "SUITE 209",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211575750",
"telephone_number": "410-840-8203",
"fax_number": "410-751-2816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D20554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "309904100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.