KEVIN RAY GORDON NP
NPI 1124791678
Nurse Practitioner - Gerontology in Indianapolis, IN

Active since July 30, 2021PECOS EnrolledAccepts Medicare Assignment
8075 N SHADELAND AVE STE 330, INDIANAPOLIS, IN 46250(317) 355-7220 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2025, Jul 10, 2024, Dec 17, 2021 and 1 more (4 updates tracked since 2021).

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

NPI1124791678
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameKEVIN RAY GORDONCredential: NP
Location Address8075 N SHADELAND AVE STE 330Indianapolis, IN 46250-2694
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 30, 2021
Last NPPES UpdateAugust 12, 20254 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1124791678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in IN · 71011370A
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 71011370A (IN)
8075 N SHADELAND AVE STE 330, Indianapolis, IN 46250

Secondary Practice Locations 2

Location 1550 University BlvdIndianapolis, IN 46202-5149 · Phone (317) 944-5000
Location 21701 N Senate AveIndianapolis, IN 46202-5306 · Phone (317) 962-2000

Other Identifiers 4

Other068010712IN · Medicare Ptan
Medicaid300053141IN
OtherQ00411112IN · Railroad Ptan
Other000001567906IN · Anthem Ptan

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

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.

PECOS PAC ID8123423522
PECOS Enrollment IDI20210824000508
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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

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, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Surgery (Vascular Surgery)
8075 N SHADELAND AVE STE 330
INDIANAPOLIS, IN 46250
Surgery (Vascular Surgery)
8075 N SHADELAND AVE STE 330
INDIANAPOLIS, IN 46250
Nurse Practitioner (Acute Care)
8075 N SHADELAND AVE STE 330
INDIANAPOLIS, IN 46250
Anesthesiology
8075 N SHADELAND AVE STE 330
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.

What insurance does Kevin Gordon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare 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 with the weekly NPPES data releases published by CMS.