Colette Gordon, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036052490 Issued in IL

Practice address

2800 N Sheridan Rd Ste 101
Chicago, IL 60657-6162

Phone

(773) 281-7835

Fax

(773) 281-8736

NPI assigned

Aug 1, 2006

Last updated

Oct 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Internal Medicine

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• O & P Home Health Care, Inc Home health agency, Skokie, IL, CCN 147812
• Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alison Arocha, APN

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1497233274
  Medicare reassignment
• Jane Bang, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1588740955
  Medicare reassignment
• Jennifer In-Hee Hur, M.D.

  • Family Medicine Physician
  • Bothell, WA
  • NPI 1659717221

  IL

  Medicare reassignment

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.

• Colette B. Gordon MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1689850166
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Endeavor Health Clinical Operations

  dba Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• O & P Home Health Care, Inc.

  • Home Health Agency
  • Skokie, IL
  • NPI 1770518755
  Care Compare affiliation
• Presence Chicago Hospitals Network

  dba Presence Saint Joseph Hospital-Chicago

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1679659585
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1447266176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576162",
            "telephone_number": "773-281-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576162",
            "telephone_number": "773-281-7835",
            "fax_number": "773-281-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "COLETTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036052490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052490",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Gordon, MSN
• Barbara P Gordon
• Bradley Jennings Gordon, M.D.
• Brenda Jo Gordon, DDS
• Caitlin Gordon
• Daniel Adam Gordon, LCSW
• Darwin Gordon
• Dawnelle Marie-Vargas Gordon, PMHNP-BC, ARNP, APNP
• Dmitri Gordon
• Eddie O Gordon, PHARM D

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.

Verify at the official NPI Registry.