Individual provider Active NPI

Rachel Gordon

  • Dermatology Physician
  • Brenham, TX
National Provider Identifier
1750524583
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
P0218 Issued in TX
Practice address
1910 Niebuhr St
Brenham, TX 77833
Phone
(979) 353-4267
NPI assigned
Apr 9, 2009
Last updated
Sep 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X P0218 TX Primary

Addresses

Primary practice location

1910 Niebuhr St
Brenham, TX 77833

Mailing address

6655 Travis St Ste 600
Houston, TX 77030-1341
Phone (713) 500-8260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160812000170 TX Practitioner - Dermatology 6002100187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
West Virginia University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher P Downing Dermatology MDGroup PAC ID 1850770371, 5 clinicians

Practice addresses (Care Compare)

13114 FM 1960 Rd W
Suite 119
Houston, TX 77065-5590
Phone (713) 487-8233

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of skin lesions293
Removal or shaving of skin growth1-10
Skin biopsy246

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher P Downing Dermatology MD Dermatology CurrentSince Nov 1, 2024 Accepting new patients
Lisa D. Hitchins, Mdpa PastSince Jul 8, 2021 Accepting new patients

Locations

13114 FM 1960 Rd W
Ste 119
Houston, TX 77065
Phone (281) 890-6446

6875 FM 1488 Rd
Ste 1500
Magnolia, TX 77354
Phone (281) 356-1945

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1750524583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 TRAVIS ST STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301341",
            "telephone_number": "713-500-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 NIEBUHR ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "77833",
            "telephone_number": "979-353-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P0218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

Verify at the official NPI Registry.