KELLY GORDON M.D.
NPI 1124446505
Psychiatry & Neurology - Child & Adolescent Psychiatry in Aurora, CO

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
13001 E. 17TH PLACE, CAMPUS BOX F546, BLDG. 500, ROOM E2322, AURORA, CO 80045(303) 724-6018 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2019, Mar 31, 2017 (2 updates tracked since 2017).

About Kelly Gordon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY GORDON M.D. (NPI 1124446505) is an individual child & adolescent psychiatry provider in Aurora, Colorado, licensed in Colorado (DR.0058267) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of University Of Maryland School Of Medicine (2015).

NPPES Registry Identity

NPI1124446505
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameKELLY GORDONCredential: M.D.
Location Address13001 E. 17TH PLACE, CAMPUS BOX F546, BLDG. 500, ROOM E2322Aurora, CO 80045
Mailing Address13001 E. 17th Place, Campus Box F546, Bldg. 500, Room E2322Aurora, CO 80045
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2015
Enumeration DateApril 2, 2014
Last NPPES UpdateAugust 5, 20192 updates tracked since enumeration
NPI 1124446505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in CO · DR.0058267
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License DR.0058267 (CO)
13001 E. 17TH PLACE, CAMPUS BOX F546, Aurora, CO 80045

Secondary Practice Location 1

Location 113123 E 16th AveAurora, CO 80045-7106 · Phone (720) 777-1234

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Gordon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214228519
PECOS Enrollment IDI20191007000879
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Gordon's NPI number?

The NPI number for Kelly Gordon is 1124446505. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Kelly Gordon located?

Kelly Gordon practices at 13001 E. 17th Place, Campus Box F546 Bldg. 500, Room E2322, Aurora, CO 80045. The listed phone number is (303) 724-6018.

What is Kelly Gordon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kelly Gordon enrolled in Medicare?

Yes. Kelly Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Gordon accept?

Health plans from Providence Health Plan list Kelly Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Gordon was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.