Individual provider Active NPI

Irina A Gordey, MD

  • Specialist
  • Alexandria, LA
National Provider Identifier
1609815646
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD15004R Issued in LA
Practice address
211 4TH Street
Alexandria, LA 71301
Phone
(318) 769-5283
Fax
(318) 336-6064
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD15004R LA Primary

Addresses

Primary practice location

211 4TH Street
Alexandria, LA 71301

Mailing address

211 4TH Street
Box 30162
Alexandria, LA 71301
Phone (318) 769-5283

Other identifiers 1

IdentifierTypeStateIssuer
1160644MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20060816000229 LA Practitioner - Internal Medicine 1456354208 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15004RLAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA CurrentSince Mar 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Sep 1, 2015 Accepting new patients
Ess Region II LLC Past Accepting new patients
Pinecrest Developmental Center Past Accepting new patients
Hynson Bayou Inpatient Services LLC Past Accepting new patients
Hospitalist Medicine Physicians of Rapides Parish, LLC Past Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

Interoperability endpoints

  • Direct secure messaging: igordey405741@christushealth.direct-ci.net

Organizations & group practices 6

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1609815646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 4TH STREET",
            "address_2": "BOX 30162",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71301",
            "telephone_number": "318-769-5283",
            "fax_number": "318-336-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH STREET",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71301",
            "telephone_number": "318-769-5283",
            "fax_number": "318-336-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDEY",
        "first_name": "IRINA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD15004R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1160644",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.