COLE JOSEPH GORDON MD
NPI 1659217651
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Cole Gordon's NPI number?

The NPI number for Cole Gordon is 1659217651. It was assigned to this individual provider in the NPPES registry on April 24, 2026.

Q: What is Cole Gordon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Cole Gordon was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 24, 2026PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Apr 24, 2026 (2 updates tracked since 2026).

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About Cole Joseph Gordon Md NPPES

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

COLE JOSEPH GORDON MD (NPI 1659217651) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1659217651

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCOLE JOSEPH GORDONCredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2689 · (313) 916-2600

Phone(313) 916-2600

Sole ProprietorNo

Enumeration DateApril 24, 2026

Last NPPES UpdateApril 27, 20262 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1659217651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD, Detroit, MI 48202

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Secondary Practice Locations 3

Location 12333 Biddle AveWyandotte, MI 48192-4668 · Phone (734) 246-6000

Location 215855 19 Mile RdClinton Township, MI 48038-3504 · Phone (586) 263-2300

Location 3205 N East AveJackson, MI 49201-1753 · Phone (517) 205-4800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cole Joseph Gordon Md 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.

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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.

HENRY FORD HOSPITAL

General Acute Care Hospital