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CAROLYN GORDON RD, LDN
NPI 1609143205
Dietitian, Registered in Indianapolis, IN

Active since November 27, 2011
5515 W 38TH ST, INDIANAPOLIS, IN 46254(317) 880-3838 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolyn Gordon Rd, Ldn NPPES

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

CAROLYN GORDON RD, LDN (NPI 1609143205) is an individual dietitian, registered in Indianapolis, Indiana, licensed in Indiana (1015433) and active in the NPI registry since November 2011. She maintains a secondary practice location in Berwyn.

NPPES Registry Identity

NPI1609143205
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCAROLYN GORDONCredential: RD, LDN
Location Address5515 W 38TH STIndianapolis, IN 46254-2995
Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939
Phone(317) 880-3838
Sole ProprietorNo
Enumeration DateNovember 27, 2011
Last NPPES UpdateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1609143205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IN · 1015433
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
5515 W 38TH ST, Indianapolis, IN 46254
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Secondary Practice Location 1

Location 13249 Oak Park AveBerwyn, IL 60402-3429 · Phone (708) 783-9100 ext. 3523

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Gordon Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Health And Hospital Corporation Of Marion County
1.4 mi
Nurse Practitioner
6920 PARKDALE PL STE 107
Indianapolis, IN 46254
  • Reassigned Medicare billing, Indiana enrollment
  • 564 clinicians in this Medicare group
NPI 1841855897 (317) 880-2276

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

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.

KRISTIN LEIGH ROTH DPT
Physical Therapist
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-0282
MADELINE MARIE NARTKER
Physician Assistant (Medical)
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-3838
ERIN J PHIPPS MD
Pediatrics
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-3838
DR. RANDALL GROUT M.D., M.S.
Pediatrics
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-3838
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-3838
MALLORY ELIZABETH KASCHAK PHARMD
Pharmacist
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-0100
KATHERINE GILKEY MD
Internal Medicine
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-3838
STACEY L MURRELL NP
Nurse Practitioner
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Marion County (317) 880-3838

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 Carolyn Gordon's NPI number?

The NPI number for Carolyn Gordon is 1609143205. It was assigned to this individual provider in the NPPES registry on November 27, 2011.

Where is Carolyn Gordon located?

Carolyn Gordon practices at 5515 W 38th St, Indianapolis, IN 46254. The listed phone number is (317) 880-3838.

What is Carolyn Gordon's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Carolyn Gordon enrolled in Medicare?

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

Which organization bills Medicare for Carolyn Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Gordon reassigns Medicare benefits to The Health And Hospital Corporation Of Marion County (Indianapolis, IN). The 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 Carolyn Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Gordon accept?

Health plans from CareSource list Carolyn 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.

When was this NPI record last updated?

The NPPES record for Carolyn Gordon was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.