Active NPI
Charles S Gordon, M.D.
- Vascular & Interventional Radiology Physician
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- ME0068812
- Practice address
- 512 Nokomis Ave S
Venice, FL 34285-2817 - Phone
- (941) 488-7781
- Fax
- (941) 484-9235
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | ME0068812 | FL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME0068812 | FL |
Addresses
Primary practice location
512 Nokomis Ave S
Venice, FL 34285-2817
Mailing address
PO Box 1508
Venice, FL 34284-1508
Phone (941) 488-7781
Other practice location 1
4724 N Davis Hwy Ste 100
Pensacola, FL 32503-2339
Phone (850) 201-2421
Other practice location 2
161 E Nine Mile Rd Ste 100
Pensacola, FL 32534-3140
Phone (850) 201-2422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265320600 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Louisville School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760
2 Tampa General Cir
Tampa, FL 33606-3571
Phone 81325327211937
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
2115 Little Rd
Trinity, FL 34655-4410
Phone (904) 399-5550
2600 Laurel Rd E
Nokomis, FL 34275-3226
Phone (904) 399-5550
3900 Losillias Dr
Sarasota, FL 34238-4536
Phone (904) 399-5550
5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (904) 399-5550
6500 38TH Ave N
St Petersburg, FL 33710-1629
Phone (904) 399-5550
700 Medical Blvd
Englewood, FL 34223-3964
Phone (904) 399-5550
Hospital & facility affiliations
- HCA Florida Englewood Hospital
- HCA Florida Fawcett Hospital
- Sacred Heart Hospital
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0068812 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Physician Solutions of West Florida, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Sheridan Radiology Services of Pinellas, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Physician Solutions of West Florida, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| SMH Physician Services Inc | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Pasadena Radiology Associates PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
4724 N Davis Hwy
Ste 100
Pensacola, FL 32503
Phone (850) 201-2421
4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769
2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700
2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 11
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.
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1467654244
-
- Diagnostic Radiology Physician
- Saint Petersburg, FL
- NPI 1104205046
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
-
- Diagnostic Radiology Physician
- Panama City, FL
- NPI 1225096936
-
- Diagnostic Radiology Physician
- Pensacola, FL
- NPI 1235197930
-
- Diagnostic Radiology Physician
- Plantation, FL
- NPI 1427437367
-
- Diagnostic Radiology Physician
- West Palm Beach, FL
- NPI 1609211432
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1811173768
-
- Diagnostic Radiology Physician
- St. Petersburg, FL
- NPI 1033194238
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, FL
- NPI 1639122864
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1679516124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1508",
"city": "VENICE",
"state": "FL",
"postal_code": "342841508",
"telephone_number": "941-488-7781",
"fax_number": "941-484-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 NOKOMIS AVE S",
"city": "VENICE",
"state": "FL",
"postal_code": "342852817",
"telephone_number": "941-488-7781",
"fax_number": "941-484-9235"
}
],
"practiceLocations": [
{
"address_1": "4724 N Davis Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325032339",
"country_code": "US",
"telephone_number": "850-201-2421",
"fax_number": "850-886-2235",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "161 E Nine Mile Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325343140",
"country_code": "US",
"telephone_number": "850-201-2422",
"fax_number": "850-886-2229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON",
"first_name": "CHARLES",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME0068812",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME0068812",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265320600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.