Individual provider Active NPI

Ayla Gordon, M.D.

  • Pulmonary Disease Physician
  • Marietta, OH
National Provider Identifier
1780079236
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.142330 Issued in OH
Practice address
400 Matthew St Ste 305
Marietta, OH 45750-1600
Phone
(740) 568-5662
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35.142330 OH
Pulmonary Disease Physician 207RP1001X 35.142330 OH Primary

Addresses

Primary practice location

400 Matthew St Ste 305
Marietta, OH 45750-1600

Mailing address

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (909) 522-2000

Other practice location 1

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (909) 522-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ayla.gordon@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 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
I20210527000543 OH Practitioner - Pulmonary Disease 0345588935 Reassigns benefits to 2 organizations
I20220511002659 WV Practitioner - Pulmonary Disease 0345588935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

400 Matthew St
Suite 305
Marietta, OH 45750-1600
Phone (740) 568-5662

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.49 of 100Reported as individual
Quality
75.73
Improvement activities
40
Cost
56.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.142330OHMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Marietta Memorial Hospital of Tyler County Inc CurrentSince Apr 1, 2022 Accepting new patients
MHC Physicians Inc CurrentSince Apr 1, 2022 Accepting new patients
Marietta Memorial Hospital of Tyler County Inc CurrentSince Jan 1, 2026 Accepting new patients
Marietta Memorial Hospital CurrentSince May 19, 2021 Accepting new patients
Marietta Memorial Hospital of Tyler County Inc CurrentSince Apr 1, 2022 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Marietta Memorial Hospital CurrentSince May 19, 2021 Accepting new patients

Locations

400 Matthew St
Ste 305
Marietta, OH 45750
Phone (740) 373-0880

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

305 Clay St
Sistersville, WV 26175
Phone (304) 447-2038

314 S Wells St
Sistersville, WV 26175
Phone (304) 652-2399

424 Highland Ave
Williamstown, WV 26187
Phone (304) 375-4656

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1780079236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "909-522-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST STE 305",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501600",
            "telephone_number": "740-568-5662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Beauvoir Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "909-522-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "AYLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35.142330",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.142330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ayla.gordon@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St Ste 305",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.