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ADRIANA I GORDON DE JESUS
NPI 1669024592
Pediatrics in Winchester, MA

Active since July 11, 2019PECOS Enrolled
41 HIGHLAND AVE, WINCHESTER, MA 01890(781) 729-9000 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2022, Jul 11, 2019 (2 updates tracked since 2019).

About Adriana I Gordon De Jesus NPPES

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

ADRIANA I GORDON DE JESUS (NPI 1669024592) is an individual pediatrics provider in Winchester, Massachusetts, licensed in Massachusetts (1019371) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1669024592
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameADRIANA I GORDON DE JESUS
Location Address41 HIGHLAND AVEWinchester, MA 01890-1446
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000
Phone(781) 729-9000
Sole ProprietorNo
Enumeration DateJuly 11, 2019
Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1669024592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MA · 1019371✔ Licensed in PR · 15447✔ Licensed in PR · 22458
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
41 HIGHLAND AVE, Winchester, MA 01890
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Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adriana I Gordon De Jesus 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01890 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

MS. CHIRIN AL DALATI M.D.
Internal Medicine
41 HIGHLAND AVE
WINCHESTER, MA 01890
Middlesex County (781) 729-9000
WINCHESTER PHYSICIAN ASSOCIATES
Internal Medicine
41 HIGHLAND AVE
WINCHESTER, MA 01890
Middlesex County (781) 756-7273
WINCHESTER LABORATORY ASSOCIATES, INC.
Pathology (Anatomic Pathology & Clinical Pathology)
41 HIGHLAND AVE, WINCHESTER HOSPITAL
WINCHESTER, MA 01890
Middlesex County (781) 756-2319
AIMEE CALISTA KNORR MD
Pediatrics (Neonatal-Perinatal Medicine)
41 HIGHLAND AVE, WINCHESTER HOSPITAL
WINCHESTER, MA 01890
Middlesex County (781) 756-2240
DR. MOHAMED MAHMOUD MD
Internal Medicine
41 HIGHLAND AVE
WINCHESTER, MA 01890
Middlesex County (781) 756-7095
JOHN E COPANOS M.D.
Internal Medicine
41 HIGHLAND AVE
WINCHESTER, MA 01890
Middlesex County (781) 756-7095
DR. VIVIANA REYES PINZON MD
Internal Medicine (Pulmonary Disease)
41 HIGHLAND AVE
WINCHESTER, MA 01890
Middlesex County (781) 756-2260
DR. ERIC EBERT MD
Emergency Medicine
41 HIGHLAND AVE
WINCHESTER, MA 01890
Middlesex County (781) 729-9000

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 Adriana Gordon De Jesus's NPI number?

The NPI number for Adriana Gordon De Jesus is 1669024592. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Adriana Gordon De Jesus located?

Adriana Gordon De Jesus practices at 41 Highland Ave, Winchester, MA 01890. The listed phone number is (781) 729-9000.

What is Adriana Gordon De Jesus's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Adriana Gordon De Jesus enrolled in Medicare?

Yes. Adriana Gordon De Jesus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adriana Gordon De Jesus was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.