Individual provider Active NPI

Ryan Douglas Gordon, MD

  • Vascular Surgery Physician
  • Henrico, VA
National Provider Identifier
1265963367
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101278782 Issued in VA
Practice address
7900 Shrader Rd
Henrico, VA 23294-4215
Phone
(804) 288-1953
NPI assigned
Mar 21, 2017
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 0101278782 VA Primary

Addresses

Primary practice location

7900 Shrader Rd
Henrico, VA 23294-4215

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472
Phone (804) 288-1953

Other practice location 1

13460 Tredegar Lake Pkwy
Midlothian, VA 23112-4070
Phone (804) 288-1953

Other practice location 2

267 Medical Park Blvd
Petersburg, VA 23805-9337
Phone (804) 288-1953

Other practice location 3

1396B Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 288-1953

Other practice location 4

8237 Meadowbridge Rd
Mechanicsville, VA 23116-2329
Phone (804) 288-1953

Other practice location 5

6031 Staples Mill Rd
Richmond, VA 23228-4923
Phone (804) 264-8782

Other practice location 6

417 N 11th St
Richmond, VA 23298-5024
Phone (804) 828-9849

Other practice location 7

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250612002906 VA Practitioner - Vascular Surgery 8729356548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Virginia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Surgery Associates of Richmond PCGroup PAC ID 4385682590, 17 clinicians

Practice addresses (Care Compare)

8237 Meadowbridge Rd
Mechanicsville, VA 23116-2329
Phone (804) 288-1953

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal21
Leg revascularization (restoring blood flow)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101278782VAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Surgery Associates of Richmond, PC Vascular Surgery CurrentSince Jul 1, 2025 Accepting new patients
Vsa Vascular Center LLC Vascular Surgery PastSince May 28, 2023 Accepting new patients

Locations

8135 Forest Ln
Dallas, TX 75230
Phone (469) 850-5760

7900 Shrader Rd
Henrico, VA 23294
Phone (804) 288-1953

8237 Meadowbridge Rd
Mechanicsville, VA 23116
Phone (804) 288-1953

13460 Tredegar Lake Pkwy
Midlothian, VA 23112
Phone (804) 288-1953

267 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 288-1953

417 Libbie Ave
Richmond, VA 23226
Phone (804) 288-1953

6031 Staples Mill Rd
Richmond, VA 23228
Phone (804) 264-8782

1396 Tappahannock Blvd
#B
Tappahannock, VA 22560
Phone (804) 288-1953

Interoperability endpoints

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

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1265963367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472",
            "telephone_number": "804-288-1953",
            "fax_number": "804-282-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 SHRADER RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944215",
            "telephone_number": "804-288-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13460 Tredegar Lake Pkwy",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231124070",
            "country_code": "US",
            "telephone_number": "804-288-1953",
            "fax_number": "804-282-1046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "267 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238059337",
            "country_code": "US",
            "telephone_number": "804-288-1953",
            "fax_number": "804-282-1046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1396B Tappahannock Blvd",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225609309",
            "country_code": "US",
            "telephone_number": "804-288-1953",
            "fax_number": "804-282-1046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8237 Meadowbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231162329",
            "country_code": "US",
            "telephone_number": "804-288-1953",
            "fax_number": "804-282-1046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6031 Staples Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232284923",
            "country_code": "US",
            "telephone_number": "804-264-8782",
            "fax_number": "804-266-9214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985024",
            "country_code": "US",
            "telephone_number": "804-828-9849",
            "fax_number": "804-828-2744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RYAN",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101278782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.