Active NPI
Rachel E Gordon, MD
- Family Medicine Physician
- Grain Valley, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2010020753
- Practice address
- 1439 S Minter Way
Grain Valley, MO 64029-9648 - Phone
- (816) 404-6797
- NPI assigned
- Dec 22, 2009
- Last updated
- Mar 8, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8321A | WY | |
| Family Medicine Physician | 207Q00000X | 2010020753 | MO | Primary |
Addresses
Primary practice location
1439 S Minter Way
Grain Valley, MO 64029-9648
Mailing address
1439 S Minter Way
Grain Valley, MO 64029-9648
Other practice location 1
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4407 E 50TH Ter
Davita Swope
Kansas City, MO 64130-2855
Phone (800) 424-6589
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.53 of 100
- Quality
- 59.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010020753 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Physicians | Family Medicine | Current | Accepting new patients |
Locations
1439 S Minter Way
Grain Valley, MO 64029
Phone (816) 404-6785
2301 Holmes St
Kansas City, MO 64108
2310 Holmes St
Ste 800
Kansas City, MO 64108
Phone (816) 218-2500
4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Health Lakewood Medical Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1376686600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1891024824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1439 S MINTER WAY",
"city": "GRAIN VALLEY",
"state": "MO",
"postal_code": "640299648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1439 S MINTER WAY",
"city": "GRAIN VALLEY",
"state": "MO",
"postal_code": "640299648",
"telephone_number": "816-404-6797"
}
],
"practiceLocations": [
{
"address_1": "7900 Lees Summit Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641391236",
"country_code": "US",
"telephone_number": "816-404-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON",
"first_name": "RACHEL",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-22",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "8321A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2010020753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grain Valley, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.