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DR. KIMBERLY GORDON-ACHEBE M.D.
NPI 1417139262
Psychiatry & Neurology - Child & Adolescent Psychiatry in Woodlawn, MD

Active since December 04, 2007PECOS EnrolledAccepts Medicare Assignment
6707 WHITESTONE RD, WOODLAWN, MD 21207(410) 265-8737(410) 265-1258 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 18, 2019, Jun 29, 2016 (2 updates tracked since 2016).

About Dr. Kimberly Gordon-achebe M.d. NPPES

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

DR. KIMBERLY GORDON-ACHEBE M.D. (NPI 1417139262) is an individual child & adolescent psychiatry provider in Woodlawn, Maryland, licensed in Maryland (D0081054) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Tulane University School Of Medicine (2006).

NPPES Registry Identity

NPI1417139262
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KIMBERLY GORDON-ACHEBECredential: M.D.
Location Address6707 WHITESTONE RDWoodlawn, MD 21207-4106
Mailing Address6707 Whitestone RdBaltimore, MD 21207-4106 · (410) 265-8737 · Fax (410) 265-1258
Phone(410) 265-8737
Fax(410) 265-1258
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2006
Enumeration DateDecember 4, 2007
Last NPPES UpdateNovember 18, 20192 updates tracked since enumeration
✔ NPI 1417139262 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 MD · D0081054
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 MD.203503 (LA)
6707 WHITESTONE RD, Woodlawn, MD 21207
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Secondary Practice Location 1

Location 16501 N Charles St, Sheppard Pratt Health SystemsBaltimore, MD 21204-6819 · Phone (410) 938-4525 · Fax (410) 938-4779

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

Dr. Kimberly Gordon-achebe 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 ID5698929701
PECOS Enrollment IDI20251008001994
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SARAH BOLLING LGSW
Social Worker
6707 WHITESTONE RD, SUITE 106
WOODLAWN, MD 21207
Baltimore City (410) 265-8737
HOPE HEALTH SYSTEMS, INC
Community/Behavioral Health
6707 WHITESTONE RD, SUITE 106
BALTIMORE, MD 21207
Baltimore City (410) 265-8737
TYMEKA JONES LCSW-C
Social Worker (Clinical)
6707 WHITESTONE RD, SUITE 106
WOODLAWN, MD 21207
Baltimore City (410) 265-8737
HOPE HEALTH SYSTEMS, INC
Health Maintenance Organization
6707 WHITESTONE RD, SUITE 106
BALTIMORE, MD 21207
Baltimore City (410) 265-8737
HOPE HEALTH SYSTEMS INC
Health Maintenance Organization
6707 WHITESTONE RD, SUITE 106
BALTIMORE, MD 21207
Baltimore City (410) 265-8737
MR. MICHAEL GRUETTNER LCSW-C
Social Worker (Clinical)
6707 WHITESTONE RD, SUITE 106
WOODLAWN, MD 21207
Baltimore City (410) 265-8737
OLUWATOYIN AJAYI
Community/Behavioral Health
6707 WHITESTONE RD
BALTIMORE, MD 21207
Baltimore City (667) 755-2170
MISS JESSICA RUTH SHEN LGSW
Social Worker
6707 WHITESTONE RD, SUITE 106
BALTIMORE, MD 21207
Baltimore City (410) 265-8737

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 Kimberly Gordon-achebe's NPI number?

The NPI number for Kimberly Gordon-achebe is 1417139262. It was assigned to this individual provider in the NPPES registry on December 4, 2007.

Where is Kimberly Gordon-achebe located?

Kimberly Gordon-achebe practices at 6707 Whitestone Rd, Woodlawn, MD 21207. The listed phone number is (410) 265-8737.

What is Kimberly Gordon-achebe's specialty?

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

Is Kimberly Gordon-achebe enrolled in Medicare?

Yes. Kimberly Gordon-achebe 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.

When was this NPI record last updated?

The NPPES record for Kimberly Gordon-achebe was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.