SHOSHANA GORDON DO
NPI 1740719558
Pediatrics in Royal Oak, MI
About Shoshana Gordon Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHOSHANA GORDON DO (NPI 1740719558) is an individual pediatrics provider in Royal Oak, Michigan, licensed in Michigan (5101025276) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oak Lawn.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shoshana Gordon Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shoshana Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Henry Ford Health System
- 1,886 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 48067 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shoshana Gordon's NPI number?
The NPI number for Shoshana Gordon is 1740719558. It was assigned to this individual provider in the NPPES registry on June 6, 2017.
Where is Shoshana Gordon located?
Shoshana Gordon practices at 26300 Woodward Ave, Royal Oak, MI 48067. The listed phone number is (248) 546-2110.
What is Shoshana Gordon's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Shoshana Gordon enrolled in Medicare?
Yes. Shoshana Gordon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shoshana Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shoshana Gordon reassigns Medicare benefits to Henry Ford Heath System (Detroit, MI). 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 Shoshana Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shoshana Gordon accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Shoshana 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 Shoshana Gordon was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Shoshana Gordon, DO · NPI 1740719558
Pediatrics physician in Royal Oak, Michigan. Individual provider, active in the CMS NPPES registry since June 6, 2017.
## Identity
- **NPI:** 1740719558 (Entity type: Individual)
- **Enumerated:** June 6, 2017
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 5101025276 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 26300 WOODWARD AVE, Royal Oak, MI 48067-0917
- **Phone:** (248) 546-2110
## 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:** Henry Ford Heath System (NPI 1013119817, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1740719558) · Data from the CMS NPPES public registry.