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

NPI Status: Active since December 04, 2007

Contact Information

6707 WHITESTONE RD
WOODLAWN, MD
ZIP 21207
Phone: (410) 265-8737
Fax: (410) 265-1258

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  • Individual
  • Female
  • Years of Experience 21
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About KIMBERLY GORDON-ACHEBE

This page provides the complete NPI Profile along with additional information for Kimberly Gordon-achebe, a provider established in Woodlawn, Maryland with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry and more than 21 years of experience. She graduated from Tulane University School Of Medicine in 2006. The healthcare provider is registered in the NPI registry with number 1417139262 assigned on December 2007. The practitioner's primary taxonomy code is 2084P0804X with license number D0081054 (MD). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1417139262
Provider Name
DR. KIMBERLY GORDON-ACHEBE M.D.
Gender
Female
Entity Type
Individual
Location Address
6707 WHITESTONE RD WOODLAWN, MD 21207
Location Phone
(410) 265-8737
Location Fax
(410) 265-1258
Mailing Address
6707 WHITESTONE RD BALTIMORE, MD 21207
Mailing Phone
(410) 265-8737
Mailing Fax
(410) 265-1258
Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
12-04-2007
Last Update Date
11-18-2019
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Location Map

Secondary Locations

  • 6501 N Charles St Sheppard Pratt Health Systems
    Baltimore, MD 21204
    (410) 938-4525

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
D0081054
License State
MD
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

MD.203503 (LA)

Medicare Participation & PECOS Enrollment Status

Kimberly Gordon-achebe is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Kimberly Gordon-achebe is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5698929701

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251008001994

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417139262, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 2 + 3 + 1 + 8 + 2 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1417139262.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
6707 WHITESTONE RD, SUITE 106
WOODLAWN, MD 21207
Social Worker (Clinical)
6707 WHITESTONE RD, SUITE 106
WOODLAWN, MD 21207
Psychiatry & Neurology (Psychiatry)
6707 WHITESTONE RD, #106
WOODLAWN, MD 21207
Health Maintenance Organization
6707 WHITESTONE RD, SUITE 106
BALTIMORE, MD 21207
Health Maintenance Organization
6707 WHITESTONE RD, SUITE 106
BALTIMORE, MD 21207
Social Worker (Clinical)
6707 WHITESTONE RD, SUITE 106
WOODLAWN, MD 21207
Social Worker
6707 WHITESTONE RD, SUITE 106
WOODLAWN, MD 21207
Counselor (Professional)
6707 WHITESTONE RD, 106
WOODLAWN, MD 21207
Counselor (Mental Health)
6707 WHITESTONE RD, SUITE 106
BALTIMORE, MD 21207
Social Worker
6707 WHITESTONE RD
GWYNN OAK, MD 21207
Counselor (Professional)
6707 WHITESTONE RD, SUITE 106
GWYNN OAK, MD 21207
Social Worker
6707 WHITESTONE RD
GWYNN OAK, MD 21207
Counselor (Mental Health)
6707 WHITESTONE RD, SUITE 106
WOODLAWN, MD 21207
Social Worker
6707 WHITESTONE RD, SUITE 106
BALTIMORE, MD 21207
Counselor (Mental Health)
6707 WHITESTONE RD, SUITE 106
BALTIMORE, MD 21207
Counselor (Mental Health)
6707 WHITESTONE RD
GWYNN OAK, MD 21207
Social Worker (Clinical)
6707 WHITESTONE RD
BALTIMORE, MD 21207
Social Worker
6707 WHITESTONE RD, 106
BALTIMORE, MD 21207
Counselor (Professional)
6707 WHITESTONE RD, SUITE 106
WOODLAWN, MD 21207
Community/Behavioral Health
6707 WHITESTONE RD, SUITE 106
BALTIMORE, MD 21207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417139262, enumerated as an "individual" on December 04, 2007.

The provider is located at 6707 WHITESTONE RD WOODLAWN, MD 21207 and the phone number is (410) 265-8737.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.