Individual provider Active NPI

David Kent Gordon II, M.D.

  • Family Medicine Physician
  • JB Andrews, MD
National Provider Identifier
1518058775
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101237401 Issued in VA
Practice address
1060 W. Perimeter Road
JB Andrews, MD 20762-6602
Phone
(202) 757-1051
NPI assigned
Sep 27, 2006
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101237401 VA Primary

Addresses

Primary practice location

1060 W. Perimeter Road
JB Andrews, MD 20762-6602

Mailing address

1060 W. Perimeter Rd
JB Andrews, MD 20762-6602
Phone (202) 757-1051

Other practice location 1

PSC 50 Box 171
Apo Ae 09494
RAF Croughton, Great Britain 09494
GB
Phone (312) 236-8366

Other practice location 2

3580 Joseph Siewick Dr
Fairfax, VA 22033-1717
Phone (703) 391-4520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgordon1177546@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20231106001185 DC Practitioner - Family Practice 0244687762 Reassigns benefits to 1 organization
I20240624001878 VA Practitioner - Family Practice 0244687762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Arlington, VA 22201-5758

19500 Sandridge Way
Suite 200
Leesburg, VA 20176-3689
Phone (703) 840-7300

3300 Gallows Rd
Falls Church, VA 22042-3307

3580 Joseph Siewick Dr
Fairfax, VA 22033-1717

3580 Joseph Siewick Dr
Fairfax, VA 22033-1764

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Aug 21, 2023 Accepting new patients
Inova Health Care Services CurrentSince Aug 21, 2023 Accepting new patients

Locations

3580 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-2450

3580 Joseph Siewick Dr
Ste 306
Fairfax, VA 22033
Phone (703) 391-4520

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

19500 Sandridge Way
Ste 200
Leesburg, VA 20176
Phone (703) 840-7300

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: dgordon1177546@soc.inova.org

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

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1518058775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 W. PERIMETER RD",
            "city": "JB ANDREWS",
            "state": "MD",
            "postal_code": "207626602",
            "telephone_number": "202-757-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W. PERIMETER ROAD",
            "city": "JB ANDREWS",
            "state": "MD",
            "postal_code": "207626602",
            "telephone_number": "202-757-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PSC 50 Box 171",
            "address_2": "APO AE 09494",
            "address_purpose": "LOCATION",
            "city": "RAF Croughton",
            "state": "Great Britain",
            "postal_code": "09494",
            "country_code": "GB",
            "telephone_number": "312-236-8366",
            "country_name": "Great Britain",
            "address_type": "FGN"
        },
        {
            "address_1": "3580 Joseph Siewick Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331717",
            "country_code": "US",
            "telephone_number": "703-391-4520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DAVID",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101237401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgordon1177546@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3580 Joseph Siewick Dr",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in JB Andrews, MD

Sources for this page

Verify at the official NPI Registry.