Individual provider Active NPI

Assaf Gordon, MD

  • Interventional Pain Medicine Physician
  • Arlington, VA
National Provider Identifier
1457549156
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
0101242959 Issued in VA
Practice address
3803 Fairfax Dr Ste 400
Arlington, VA 22203-5860
Phone
(703) 738-4380
NPI assigned
Oct 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0101242959 VA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 0101242959 VA
Interventional Pain Medicine Physician 208VP0014X 0101242959 VA Primary

Addresses

Primary practice location

3803 Fairfax Dr Ste 400
Arlington, VA 22203-5860

Mailing address

11350 McCormick Rd
Executive Plaza 1, Ste 501
Hunt Valley, MD 21031-4637
Phone (703) 914-8000

Other practice location 1

3620 Joseph Siewick Dr Ste 101
Fairfax, VA 22033-1757
Phone (703) 343-4344

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agordon@spineandpain.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080731000041 DC Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 5294757670 Reassigns benefits to 1 organization
I20200129002538 MD Practitioner - Interventional Pain Management 5294757670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
University of Pittsburgh School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Medicine Associates LTDGroup PAC ID 4981688835, 73 clinicians

Practice addresses (Care Compare)

3803 Fairfax Dr
Suite 400
Arlington, VA 22203-5860
Phone (703) 738-4380

6355 Walker LN
Suite 507
Alexandria, VA 22310-3251
Phone (703) 971-4604

9151 Rumsey Rd
Suite 150
Columbia, MD 21045-1994
Phone (443) 583-7958

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237880NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates, LTD Interventional Pain Medicine CurrentSince Aug 1, 2008 Accepting new patients
Physical Medicine Associates, LTD Interventional Pain Medicine CurrentSince Aug 1, 2008 Accepting new patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients
NSPC Surgery Center of Maryland LLC Past Accepting new patients
Physical Medicine Associates LTD Past Accepting new patients

Locations

5550 Friendship Blvd
Ste 450
Chevy Chase, MD 20815
Phone (301) 215-4154

9151 Rumsey Rd
Ste 150
Columbia, MD 21045
Phone (443) 583-7958

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

6710 Oxon Hill Rd
Ste 550
Oxon Hill, MD 20745
Phone (301) 485-7400

3460 Old Washington Rd
Ste 300
Waldorf, MD 20602
Phone (301) 645-1523

6355 Walker Ln
Ste 507
Alexandria, VA 22310
Phone (703) 738-4332

2800 S Shirlington Rd
Ste 102
Arlington, VA 22206
Phone (703) 738-4336

3803 Fairfax Dr
Ste 400
Arlington, VA 22203
Phone (703) 438-4380

3620 Joseph Siewick Dr
Ste 101
Fairfax, VA 22033
Phone (703) 343-4344

3620 Joseph Siewick Dr
Ste 410
Fairfax, VA 22033

14605 Potomac Branch Dr
Ste 100
Woodbridge, VA 22191
Phone (703) 738-4371

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1457549156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, STE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210314637",
            "telephone_number": "703-914-8000",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 FAIRFAX DR STE 400",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222035860",
            "telephone_number": "703-738-4380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Joseph Siewick Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331757",
            "country_code": "US",
            "telephone_number": "703-343-4344",
            "fax_number": "703-642-1876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ASSAF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101242959",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101242959",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0101242959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agordon@spineandpain.emadirect.md",
            "affiliation": "N",
            "address_1": "3803 Fairfax Dr Ste 400",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222035860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.