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DR. KALI L GORDON M.D., M.S.
NPI 1508106600
Family Medicine in Alturas, CA

Active since February 26, 2013PECOS Enrolled
PIT RIVER HEALTH SERVICE, 150 BUREAU OF INDIAN AFFAIRS #76A, ALTURAS, CA 96101(530) 233-3223(530) 233-3296 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2023, Aug 6, 2021, Mar 12, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Kali L Gordon M.d., M.s. NPPES

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

DR. KALI L GORDON M.D., M.S. (NPI 1508106600) is an individual family medicine provider in Alturas, California, licensed in Georgia (72733) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508106600
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KALI L GORDONCredential: M.D., M.S.
Location AddressPIT RIVER HEALTH SERVICE, 150 BUREAU OF INDIAN AFFAIRS #76AAlturas, CA 96101
Mailing Address412 E North St Unit AAlturas, CA 96101-4072 · (215) 260-8867
Phone(530) 233-3223
Fax(530) 233-3296
Sole ProprietorYes
Enumeration DateFebruary 26, 2013
Last NPPES UpdateNovember 9, 20234 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1508106600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 72733
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
PIT RIVER HEALTH SERVICE, Alturas, CA 96101
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kali L Gordon M.d., M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kali Gordon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstreet Of Georgia PC
2,035 mi
Urgent Care
1825 HIGHWAY 34 E STE 1200
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 380 clinicians in this Medicare group
NPI 1235411547 (770) 502-2121
United Physician Group LLC
2,042 mi
Family Medicine
13 CORPORATE BLVD NE STE 100
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 10 clinicians in this Medicare group
NPI 1922579192 (678) 505-9657
Southern Regional Physicians Management Group, LLC
2,046 mi
Surgery
11 UPPER RIVERDALE RD SW
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 111 clinicians in this Medicare group
NPI 1043677271 (770) 991-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96101 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Kali Gordon's NPI number?

The NPI number for Kali Gordon is 1508106600. It was assigned to this individual provider in the NPPES registry on February 26, 2013.

Where is Kali Gordon located?

Kali Gordon practices at Pit River Health Service 150 Bureau Of Indian Affairs #76a, Alturas, CA 96101. The listed phone number is (530) 233-3223.

What is Kali Gordon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kali Gordon enrolled in Medicare?

Yes. Kali Gordon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kali Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kali Gordon reassigns Medicare benefits to 3 organizations: Wellstreet Of Georgia PC (Newnan, GA), United Physician Group LLC (Brookhaven, GA) and Southern Regional Physicians Management Group, LLC (Riverdale, GA). 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 Kali Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kali Gordon was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.