Active NPI
Andrew Gordon, DPM
- Primary Podiatric Medicine Podiatrist
- Miami Beach, FL
National Provider Identifier
1831274794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- PO2890
- Practice address
- 333 W 41St St
Suite #218
Miami Beach, FL 33140-3641 - Phone
- (305) 532-5630
- Fax
- (305) 532-2530
- NPI assigned
- Oct 26, 2006
- Last updated
- Oct 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | PO2890 | FL | Primary |
Addresses
Primary practice location
333 W 41St St
Suite #218
Miami Beach, FL 33140-3641
Mailing address
333 W 41St St
Suite #218
Miami Beach, FL 33140-3641
Phone (305) 532-5630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340493500 | 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
333 W 41St St
Suite 218
Miami Beach, FL 33140-3608
Phone (305) 532-5630
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordon Foot Care,PA | Primary Podiatric Medicine | Current | Accepting new patients |
| Grace Care LLC | Past | Accepting new patients |
Locations
333 W 41st St
Ste 218
Miami Beach, FL 33140
Phone (305) 532-5630
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.
-
- Foot & Ankle Surgery Podiatrist
- Miami Beach, FL
- NPI 1902992225
Primary Podiatric Medicine
-
- Durable Medical Equipment & Medical Supplies
- Lynchburg, VA
- NPI 1538701446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1831274794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W 41ST ST",
"address_2": "SUITE #218",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403641",
"telephone_number": "305-532-5630",
"fax_number": "305-532-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W 41ST ST",
"address_2": "SUITE #218",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403641",
"telephone_number": "305-532-5630",
"fax_number": "305-532-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "FL",
"license": "PO2890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340493500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.