KEVIN RAY GORDON NP
NPI 1124791678
Nurse Practitioner - Gerontology in Indianapolis, IN
About Kevin Ray Gordon Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN RAY GORDON NP (NPI 1124791678) is an individual gerontology provider in Indianapolis, Indiana, licensed in Indiana (71011370A) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin Ray Gordon Np 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kevin Gordon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46250
- Reassigned Medicare billing, Indiana enrollment
- 266 clinicians in this Medicare group
Indianapolis, IN 46256
- Reassigned Medicare billing, Indiana enrollment
- 2,087 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 1,781 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 737 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Community Hospital East
Acute Care Hospitals · Indianapolis, INCommunity Hospital North
Acute Care Hospitals · Indianapolis, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46250 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46250
INDIANAPOLIS, IN 46250
INDIANAPOLIS, IN 46250
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 Kevin Gordon's NPI number?
The NPI number for Kevin Gordon is 1124791678. It was assigned to this individual provider in the NPPES registry on July 30, 2021.
Where is Kevin Gordon located?
Kevin Gordon practices at 8075 N Shadeland Ave Ste 330, Indianapolis, IN 46250. The listed phone number is (317) 355-7220.
What is Kevin Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kevin Gordon enrolled in Medicare?
Yes. Kevin 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.
Which organizations bill Medicare for Kevin Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Gordon reassigns Medicare benefits to 5 organizations: Community Physician Network Specialty Care LLC (Indianapolis, IN), Community Physicians Of Indiana Inc (Indianapolis, IN), Indiana University Health Care Associates, Inc. (Indianapolis, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and University Family Physicians, Inc. (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Gordon accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Kevin 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.
Is Kevin Gordon affiliated with any hospitals?
According to CMS data, Kevin Gordon is affiliated with Community Hospital East and Community Hospital North.
When was this NPI record last updated?
The NPPES record for Kevin Gordon was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Kevin Ray Gordon, NP · NPI 1124791678
Gerontology physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since July 30, 2021.
## Identity
- **NPI:** 1124791678 (Entity type: Individual)
- **Enumerated:** July 30, 2021
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 71011370A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 8075 N SHADELAND AVE STE 330, Indianapolis, IN 46250-2694
- **Phone:** (317) 355-7220
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Community Physician Network Specialty Care LLC (NPI 1588535496, Indianapolis, IN); Community Physicians Of Indiana Inc (NPI 1619105244, Indianapolis, IN); Indiana University Health Care Associates, Inc. (NPI 1679949002, Indianapolis, IN); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN); University Family Physicians, Inc. (NPI 1043275787, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 12, 2025
- **Other identifiers:** Other 068010712 (IN); Medicaid 300053141 (IN); Other Q00411112 (IN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1124791678) · Data from the CMS NPPES public registry.