Individual provider Active NPI

Victor Henry-Loch Gordon, MD

  • Pulmonary Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1346553781
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301097068 Issued in MI
Practice address
2490 S Rochester Rd
Rochester Hills, MI 48307-3817
Phone
(248) 795-1047
Fax
(248) 795-1048
NPI assigned
Jul 14, 2010
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301097068 MI
Pulmonary Disease Physician 207RP1001X 4301097068 MI Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4301097068 MI

Addresses

Primary practice location

2490 S Rochester Rd
Rochester Hills, MI 48307-3817

Mailing address

2490 S Rochester Rd
Rochester Hills, MI 48307-3817
Phone (248) 795-1047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160715000209 MI Practitioner - Pulmonary Disease 4981837390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2490 S Rochester Rd
Rochester Hills, MI 48307-3817
Phone (248) 795-1047

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Covenant Medical Center, Inc Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Integrative Pulmonary and Sleep Medicine PLLC Pulmonary Disease CurrentSince May 1, 2026 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

2490 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 212-0116

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

515 N Michigan Ave
Saginaw, MI 48602
Phone (989) 583-2701

800 Cooper Ave
Ste 4
Saginaw, MI 48602
Phone (989) 583-7380

Interoperability endpoints

  • Direct secure messaging: vgordon194808@direct.hfhs.org
  • Direct secure messaging: victor.gordon@pcca.eclinicaldirectplus.com

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

Hospital & facility affiliations 6

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1346553781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073817",
            "telephone_number": "248-795-1047",
            "fax_number": "248-795-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073817",
            "telephone_number": "248-795-1047",
            "fax_number": "248-795-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "VICTOR",
        "middle_name": "HENRY-LOCH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301097068",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301097068",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301097068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.