Individual provider Active NPI

Nina J. Gordon, M.D.

  • Diagnostic Radiology Physician
  • Hagerstown, MD
National Provider Identifier
1962482554
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0057769 Issued in MD
Practice address
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone
(301) 739-6144
Fax
(301) 739-6163
NPI assigned
Jan 19, 2006
Last updated
May 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0057769 MD Primary

Addresses

Primary practice location

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Mailing address

10715 Downsville Pike Ste 103
Hagerstown, MD 21740-7240
Phone (301) 739-6144

Other identifiers 1

IdentifierTypeStateIssuer
692303801MedicaidMD

Other names 1

  • Dr. Nina J. Abramson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040319000228 MD Practitioner - Diagnostic Radiology 1456241686 Reassigns benefits to 4 organizations
I20050317000978 DC Practitioner - Diagnostic Radiology 1456241686 Reassigns benefits to 1 organization
I20210824002520 PA Practitioner - Diagnostic Radiology 1456241686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Yale University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Services LLCGroup PAC ID 9739087214, 17 clinicians
Fulton Diagnostic Radiology LLCGroup PAC ID 5991853806, 11 clinicians

Practice addresses (Care Compare)

1101 Opal CT
Hagerstown, MD 21740-5941
Phone (301) 714-4200

1110 Professional CT
Suite 200
Hagerstown, MD 21740-5945
Phone (240) 313-9870

11110 Medical Campus Rd
Hagerstown, MD 21742-6797
Phone (301) 714-4200

13620 Crayton Blvd
Hagerstown, MD 21742-2335
Phone (301) 714-4200

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone (301) 739-6144

Merit-based Incentive Payment System (MIPS)

Final score
89.76 of 100Reported as group
Quality
82.66
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.85 of 100Reported as group
Quality
95.11
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0057769MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Services, LLC CurrentSince Jan 1, 2020 Accepting new patients
Fulton Diagnostic Radiology LLC Specialist CurrentSince Jan 1, 2021 Accepting new patients
Associated Radiologists, PA Specialist CurrentSince Jan 1, 2020 Accepting new patients
Inova Health Care Services Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
DRS Groover Christie & Merritt PC Diagnostic Radiology Past Accepting new patients

Locations

5051 Greenspring Ave
Ste 304
Baltimore, MD 21209
Phone (410) 367-2590

10715 Downsville Pike
Ste 103
Hagerstown, MD 21740
Phone (240) 527-2000

11110 Medical Campus Rd
Ste 245
Hagerstown, MD 21742
Phone (301) 714-4200

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 7

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1962482554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 DOWNSVILLE PIKE STE 103",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407240",
            "telephone_number": "301-739-6144",
            "fax_number": "301-739-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11116 MEDICAL CAMPUS RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426710",
            "telephone_number": "301-739-6144",
            "fax_number": "301-739-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NINA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0057769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692303801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "ABRAMSON",
            "middle_name": "J.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.