DR. STEPHEN GORDON MD
NPI 1821057704
Pediatrics - Pediatric Emergency Medicine in New York, NY
About Dr. Stephen Gordon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEPHEN GORDON MD (NPI 1821057704) is an individual pediatric emergency medicine provider in New York, New York, licensed in New York (195143) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Stephen Gordon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephen Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW YORK, NY 10032
NEW YORK, NY 10032
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 Stephen Gordon's NPI number?
The NPI number for Stephen Gordon is 1821057704. It was assigned to this individual provider in the NPPES registry on March 21, 2006.
Where is Stephen Gordon located?
Stephen Gordon practices at 3959 Broadway Columbia University Department Pediatrics, New York, NY 10032. The listed phone number is (212) 304-7250.
What is Stephen Gordon's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Stephen Gordon enrolled in Medicare?
Yes. Stephen Gordon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephen Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Gordon reassigns Medicare benefits to Trustees Of Columbia University In The City Of New York (New York, NY). 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 Stephen Gordon'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 Stephen Gordon was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Stephen Gordon, MD · NPI 1821057704
Pediatric Emergency Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 21, 2006.
## Identity
- **NPI:** 1821057704 (Entity type: Individual)
- **Enumerated:** March 21, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 195143 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS, New York, NY 10032-1559
- **Phone:** (212) 304-7250
## 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:** Trustees Of Columbia University In The City Of New York (NPI 1477068971, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2023
- **Other identifiers:** Medicaid 01487503 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1821057704) · Data from the CMS NPPES public registry.