Active NPI
Michael J Gordon, MD
- Surgery of the Hand (Surgery) Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- ME93449
- Practice address
- 943 S Beneva Rd Ste 106
Sarasota, FL 34232-2471 - Phone
- (941) 955-6748
- Fax
- (941) 953-6023
- NPI assigned
- Jun 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME93449 | FL | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | ME93449 | FL | Primary |
Addresses
Primary practice location
943 S Beneva Rd Ste 106
Sarasota, FL 34232-2471
Mailing address
943 S Beneva Rd Ste 106
Sarasota, FL 34232-2471
Phone (941) 955-6748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273705100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Michael.Gordon@img.directbygreenway.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Hand Surgery
- Education
- JS Weill Medical College, Cornell University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services IncLegacy Healthcare Services Inc
Practice addresses (Care Compare)
109 Laurel Rd E
Nokomis, FL 34275-5233
Phone (941) 375-8734
11661 State Rd 70
Lakewood Ranch, FL 34202-9416
Phone (941) 222-0321
17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042
943 S Beneva Rd
FL 1
Sarasota, FL 34232-2476
Phone (941) 955-6748
Hospital & facility affiliations
- Sarasota Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME93449 | FL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercoastal Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
Locations
943 S Beneva Rd
Fl 1
Sarasota, FL 34232
921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390
943 S Beneva Rd
Ste 106
Sarasota, FL 34232
Phone (941) 955-6748
943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644
Interoperability endpoints
- michael.gordon@img.directbygreenway.com
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.
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1578537767
Orthopaedic Surgery
-
- Rehabilitation Clinic/Center
- Nokomis, FL
- NPI 1780964973
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1376584615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "943 S BENEVA RD STE 106",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342322471",
"telephone_number": "941-955-6748",
"fax_number": "941-953-6023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "943 S BENEVA RD STE 106",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342322471",
"telephone_number": "941-955-6748",
"fax_number": "941-953-6023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME93449",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "FL",
"license": "ME93449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273705100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Michael.Gordon@img.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "943 S Beneva Rd Ste 106",
"city": "Sarasota",
"state": "FL",
"country_code": "US",
"postal_code": "342322471",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.