KYLE SEBASTIAN GORDON MD
NPI 1821730425
Student in an Organized Health Care Education/Training Program in Boca Raton, FL

Q: What is Kyle Gordon's NPI number?

The NPI number for Kyle Gordon is 1821730425. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Q: What is Kyle 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 Kyle Gordon was last updated on April 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 13, 2022PECOS Enrolled

FLORIDA ATLANTIC UNIVERSITY INTERNAL MEDICINE RESIDENCY, 800 MEADOWS ROAD, BOCA RATON, FL 33486(561) 955-5365(561) 955-3577 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kyle Sebastian Gordon Md NPPES

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

KYLE SEBASTIAN GORDON MD (NPI 1821730425) is an individual student in an organized health care education/training program in Boca Raton, Florida and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821730425

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKYLE SEBASTIAN GORDONCredential: MD

Location AddressFLORIDA ATLANTIC UNIVERSITY INTERNAL MEDICINE RESIDENCY, 800 MEADOWS ROADBoca Raton, FL 33486

Mailing AddressFlorida Atlantic University Internal Medicine Residency, 800 Meadows RoadBoca Raton, FL 33486 · (561) 955-5365

Phone(561) 955-5365

Fax(561) 955-3577

Sole ProprietorNo

Enumeration DateApril 13, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1821730425 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.

FLORIDA ATLANTIC UNIVERSITY INTERNAL MEDICINE RESIDENCY, Boca Raton, FL 33486

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Sebastian 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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