ADRIANA I GORDON DE JESUS
NPI 1669024592
Pediatrics in Winchester, MA
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adriana I Gordon De Jesus is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Adriana Gordon De Jesus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 1,358 clinicians in this Medicare group
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 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.
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.
WINCHESTER, MA 01890
WINCHESTER, MA 01890
WINCHESTER, MA 01890
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.
Which organization bills Medicare for Adriana Gordon De Jesus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adriana Gordon De Jesus reassigns Medicare benefits to Children's Hospital Pediatric Associates, Inc (Boston, MA). 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 Adriana Gordon De Jesus'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 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 20 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.
# Adriana I Gordon De Jesus · NPI 1669024592
Pediatrics physician in Winchester, Massachusetts. Individual provider, active in the CMS NPPES registry since July 11, 2019.
## Identity
- **NPI:** 1669024592 (Entity type: Individual)
- **Enumerated:** July 11, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 1019371 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 41 HIGHLAND AVE, Winchester, MA 01890-1446
- **Phone:** (781) 729-9000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Hospital Pediatric Associates, Inc (NPI 1457306664, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669024592) · Data from the CMS NPPES public registry.