Individual provider Active NPI

Murray B Gordon, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Pittsburgh, PA
National Provider Identifier
1366414468
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD021295E Issued in PA
Practice address
420 E North Ave
Suite 205
Pittsburgh, PA 15212
Phone
(412) 359-3426
Fax
(412) 359-6974
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD021295E PA Primary

Addresses

Primary practice location

420 E North Ave
Suite 205
Pittsburgh, PA 15212

Mailing address

420 E North Ave
Suite 205
Pittsburgh, PA 15212
Phone (412) 359-3426

Other identifiers 11

IdentifierTypeStateIssuer
103913OtherPAUPMC
460003336OtherPARAILROAD MEDICARE
1004837OtherPAGATEWAY HEALTH PLAN
62338OtherPAUNISON / MEDPLUS
GO079319OtherPABLUE SHIELD
2654921OtherPAAETNA USHC
0008583540002MedicaidPA
029390100OtherPAFEDERAL BLACK LUNG
2005991000OtherPAWEST VIRGINIA MEDICAID
7260967OtherPACIGNA
244601OtherPAHEALTH AMERICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110104001124 PA Practitioner - Endocrinology 8921164930 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Endocrinology Associates, PC Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2002 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

420 E North Ave
Ste 205
Pittsburgh, PA 15212
Phone (412) 359-3138

95 Leonard Ave
Ste 104
Washington, PA 15301
Phone (724) 206-9149

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1366414468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE",
            "address_2": "SUITE 205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15212",
            "telephone_number": "412-359-3426",
            "fax_number": "412-359-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE",
            "address_2": "SUITE 205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15212",
            "telephone_number": "412-359-3426",
            "fax_number": "412-359-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MURRAY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD021295E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "103913",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "460003336",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1004837",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON / MEDPLUS",
            "identifier": "62338",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "GO079319",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC",
            "identifier": "2654921",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008583540002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "029390100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA MEDICAID",
            "identifier": "2005991000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7260967",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "244601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.