KENNETH MARK GORMAN JR. MD
NPI 1841985462
Internal Medicine in Memphis, TN

Q: What is Kenneth Gorman's NPI number?

The NPI number for Kenneth Gorman is 1841985462. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Kenneth Gorman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Gorman was last updated on November 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 10, 2023PECOS Enrolled

1265 UNION AVE, MEMPHIS, TN 38104(901) 516-8279 Get Directions Write a Review

NPPES record last updated: November 9, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Nov 9, 2025, Apr 10, 2023 (2 updates tracked since 2023).

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About Kenneth Mark Gorman Jr. Md NPPES

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

KENNETH MARK GORMAN JR. MD (NPI 1841985462) is an individual internal medicine provider in Memphis, Tennessee, licensed in Louisiana (349797) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Metairie.

NPPES Registry Identity

NPI1841985462

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKENNETH MARK GORMAN JR.Credential: MD

Location Address1265 UNION AVEMemphis, TN 38104-3415

Mailing Address2263 Young Ave Apt 217Memphis, TN 38104-5768

Phone(901) 516-8279

Sole ProprietorNo

Enumeration DateApril 10, 2023

Last NPPES UpdateNovember 9, 20252 updates tracked since enumeration

NPPES CertifiedNovember 9, 2025

✔ NPI 1841985462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in LA · 349797

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1265 UNION AVE, Memphis, TN 38104

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Secondary Practice Location 1

Location 15000 W Esplanade Ave Ste 132Metairie, LA 70006-2570 · Phone (504) 376-4698

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Mark Gorman Jr. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

MICHAEL FISHER CRNA

Nurse Anesthetist, Certified Registered