Individual provider Active NPI

Andrew Gordon, DPM

  • Primary Podiatric Medicine Podiatrist
  • Miami Beach, FL
National Provider Identifier
1831274794
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO2890 Issued in FL
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
340493500MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308000917 FL Practitioner - Podiatry 3072567635 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon Foot Care,PA Primary Podiatric Medicine CurrentSince Jan 1, 2005 Accepting new patients
Grace Care LLC PastSince Jan 1, 2005 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.

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

Verify at the official NPI Registry.