Individual provider Active NPI

Gordon Kent Lindberg, MD

  • Surgery Physician
  • Aurora, CO
National Provider Identifier
1891889127
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD482816 Issued in PA
Practice address
12605 E 16TH Ave
Aurora, CO 80045-2545
Phone
(720) 848-0000
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01077631A IN
Surgery Physician 208600000X MD482816 PA Primary
Surgery Physician 208600000X EMC0001110 MI
Surgery Physician 208600000X 42639 CO
Hospitalist Physician 208M00000X EMC0001110 MI
Hospitalist Physician 208M00000X 1073 WI

Addresses

Primary practice location

12605 E 16TH Ave
Aurora, CO 80045-2545

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3000

Other practice location 2

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (317) 962-5820

Other practice location 3

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645

Other practice location 4

1200 S Cedar Crest Blvd Fl 3
Allentown, PA 18103-6202
Phone (610) 402-8355

Other identifiers 1

IdentifierTypeStateIssuer
09472371MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nodrog@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, VA, MI, WI, CA, PA, VI8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20040721000107 CO Practitioner - General SurgeryPractitioner - Other (Physician) 3375523483 Reassigns benefits to 1 organization
I20200807002207 TX Practitioner - General Surgery 3375523483 Reassigns benefits to 3 organizations
I20210624000024 VA Practitioner - General Surgery 3375523483 Reassigns benefits to 1 organization
I20210812002966 MI Practitioner - HospitalistPractitioner - General Surgery 3375523483
I20211213000905 WI Practitioner - General SurgeryPractitioner - Hospitalist 3375523483 Reassigns benefits to 1 organization
I20230411001866 CA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 3375523483 Reassigns benefits to 2 organizations
I20240408001239 PA Practitioner - General Surgery 3375523483 Reassigns benefits to 1 organization
I20251118004221 VI Practitioner - Critical Care (Intensivists) 3375523483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4007 Estate Diamond Ruby
Christiansted, VI 00820-4435
Phone (340) 778-6311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2320GAMDOptometrist
42639COMDSurgery Physician
MD482816PAMDSurgery Physician
EMC0001110MIMDHospitalist Physician
1073WIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Oct 28, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince May 11, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 18, 2024 Accepting new patients
Signify Health, LLC CurrentSince Jun 1, 2021 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Oct 28, 2025 Accepting new patients
Inpatient Specialists of California, PC Hospitalist CurrentSince Mar 1, 2023 Accepting new patients
Emergency Physicians of South Texas PLLC CurrentSince May 1, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 18, 2024 Accepting new patients
Lehigh Valley Physician Group Surgery Current Accepting new patients
Vpa of Texas PLLC CurrentSince May 11, 2024 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Aug 8, 2023 Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

1200 S Cedar Crest Blvd
Fl 3
Allentown, PA 18103
Phone (610) 402-8355

2100 Mack Blvd
Fl 4
Allentown, PA 18103

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: gordon.lindberg.1@17194.direct.athenahealth.com

Organizations & group practices 12

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 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1891889127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 W Baraga Ave",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554550",
            "country_code": "US",
            "telephone_number": "906-449-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Riley Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025109",
            "country_code": "US",
            "telephone_number": "317-962-5820",
            "fax_number": "317-962-3916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-735-7645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 S Cedar Crest Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "610-402-8355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "GORDON",
        "middle_name": "KENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01077631A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD482816",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "EMC0001110",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "42639",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "EMC0001110",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "1073",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09472371",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nodrog@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "705 Riley Hospital Dr",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.