Active NPI
Chad R. Gordon, D.O.
- Plastic Surgery Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- H72202
- Practice address
- Department of Plastic Surgery Johns Hopkins
Jhoc #8152F, 601 N. Caroline Street
Baltimore, MD 21287-0001 - Phone
- (443) 287-6425
- NPI assigned
- Nov 30, 2007
- Last updated
- Oct 11, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 242456 | MA | |
| Plastic Surgery Physician | 208200000X | H72202 | MD | Primary |
Addresses
Primary practice location
Department of Plastic Surgery Johns Hopkins
Jhoc #8152F, 601 N. Caroline Street
Baltimore, MD 21287-0001
Mailing address
601 N. Caroline Street, Jhoc #8152F
Department of Plastic Surgery, Johns Hopkins University
Baltimore, MD 21287
Phone (443) 287-6425
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242456 | Other | MA | MASSACHUSETTS STATE LICENSE |
| 52189 | Medicaid | MD | |
| MB07654400 | Other | NJ | NEW JERSEY LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- Plastic and Reconstructive Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340
601 N Caroline St
Baltimore, MD 21287-0006
Phone (410) 955-5080
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242456 | MA | MD | Plastic Surgery Physician |
| H72202 | MD | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Plastic Surgery | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| The Johns Hopkins Hospital | Past | Accepting new patients |
Locations
600 N Wolfe St
Baltimore, MD 21287
601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080
601 N Caroline St
#8152F
Baltimore, MD 21287
Interoperability endpoints
- cgordon33016@direct.hopkinsmedicine.org
Organizations & group practices 5
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.
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
dba Jhu - Plastic Surgery
- Plastic Surgery Physician
- Baltimore, MD
- NPI 1275515546
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1952583932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N. CAROLINE STREET, JHOC #8152F",
"address_2": "DEPARTMENT OF PLASTIC SURGERY, JOHNS HOPKINS UNIVERSITY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "443-287-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF PLASTIC SURGERY JOHNS HOPKINS",
"address_2": "JHOC #8152F, 601 N. CAROLINE STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870001",
"telephone_number": "443-287-6425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "CHAD",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-30",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MA",
"license": "242456",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MD",
"license": "H72202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS STATE LICENSE",
"identifier": "242456",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52189",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY LICENSE NUMBER",
"identifier": "MB07654400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.