Martyn D Gordon, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G5101 Issued in TX

Practice address

1604 Lancaster Dr
Grapevine, TX 76051-3544

Phone

(855) 893-5637

Fax

(817) 666-3873

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Internal Medicine

Education

University of Texas Medical Branch at Galveston, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Wellness ResourcesGroup PAC ID 6002296506, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sunrise Home Health Services Home health agency, Bedford, TX, CCN 459463
• Encompass Home Health of DFW Home health agency, Grapevine, TX, CCN 679428
• Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: martyn.gordon.1@27041.direct.athenahealth.com
• Direct secure messaging: mgordon460948@direct.sw.org
• FHIR API: https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4

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.

• Access Wellness Resources

  dba IntraCare Health Center

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1568116291

  Internal Medicine

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Regional Medical Center at Grapevine

  dba Baylor Scott & White Medical Center - Grapevine

  • General Acute Care Hospital
  • Grapevine, TX
  • NPI 1073511762
  Care Compare affiliation
• Bir JV LLP

  dba Baylor Institute for Rehabilitation

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901

  Inpatient rehabilitation facility

  Care Compare affiliation
• Eh Home Health of DFW, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Grapevine, TX
  • NPI 1245521103
  Care Compare affiliation
• Sunrise Home Health Services of America, Inc.

  dba Sunrise Home Health Services

  • Home Health Agency
  • Bedford, TX
  • NPI 1265524557
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1972689750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E TRINITY MILLS RD STE 250",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061946",
            "telephone_number": "972-417-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 LANCASTER DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513544",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1752 Broad Park Cir N Ste 114",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760637824",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6029 Belt Line Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752547873",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 Western Center Blvd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761314302",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762402343",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4004 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017854",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Airport Fwy Ste 405",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760216607",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Eureka St Ste B",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760866521",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MARTYN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G5101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0354078",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorcas Gonzalez Andujar, M.D.
• Maria de Lourdes Gonzalez Diaz
• Andrea Sarahi Gonzalez, DC
• Katherine A Goodell, MS, LMFT
• Natalie Goodman
• Grace Perspectives Counseling of Grapevine, LLC
• Michael L Grace, O.D.
• Meredith Lynn Grady, D.C.
• Candace Graham, LPC
• Charisa Beth Graham, LPC-A

• Internal Medicine Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.

Verify at the official NPI Registry.