Individual provider Active NPI

Ariel Esther Gordon, D.O.

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1679223234
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS23561 Issued in FL
Practice address
7720 Boynton Beach Blvd
Boynton Beach, FL 33437-3804
Phone
(561) 621-1579
NPI assigned
Mar 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS23561 FL Primary

Addresses

Primary practice location

7720 Boynton Beach Blvd
Boynton Beach, FL 33437-3804

Mailing address

7720 Boynton Beach Blvd
Boynton Beach, FL 33437-3804
Phone (561) 621-1579

Other identifiers 1

IdentifierTypeStateIssuer
390200000XMedicaidNY

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ariel.gordon.1@29601.direct.athenahealth.com
CONNECT URL EPIC Health Information Exchange (HIE)
CONNECT URL EPIC 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521002790 FL Practitioner - Internal Medicine 9335619147

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Internal Medicine PastSince Jun 23, 2025 Accepting new patients

Organizations & group practices 1

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": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1679223234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373804",
            "telephone_number": "561-621-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373804",
            "telephone_number": "561-621-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ARIEL",
        "middle_name": "ESTHER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS23561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390200000X",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ariel.gordon.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2015 Ocean Dr Ste 11",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334265131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "endpointDescription": "EPIC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 10th Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100191147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "endpointDescription": "EPIC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 10th Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100191147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.