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KATHLEEN P GORDON DO
NPI 1861417354
Internal Medicine in Johnston, RI

Active since July 13, 2006PECOS Enrolled
1524 ATWOOD AVE, SUITE 220, JOHNSTON, RI 02919(401) 272-1900(401) 453-3049 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kathleen P Gordon Do NPPES

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

KATHLEEN P GORDON DO (NPI 1861417354) is an individual internal medicine provider in Johnston, Rhode Island, licensed in Rhode Island (0482) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Fatima Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (1994).

NPPES Registry Identity

NPI1861417354
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKATHLEEN P GORDONCredential: DO
Location Address1524 ATWOOD AVE, SUITE 220Johnston, RI 02919
Mailing Address1524 Atwood Ave, Suite 220Johnston, RI 02919 · (401) 272-1900 · Fax (401) 453-3049
Phone(401) 272-1900
Fax(401) 453-3049
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1994
Enumeration DateJuly 13, 2006
Last NPPES UpdateJune 26, 2008
✔ NPI 1861417354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · 0482
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.
1524 ATWOOD AVE, Johnston, RI 02919
Open in Google Maps ↗

Other Identifiers 7

Other20540Bcri
Medicare PIN007059489RI
Other0401976Uhp
Medicare ID-Type Unspecified119020540RI
Medicare UPING61870
Medicaid9020540RI
Other402586Blue Chip Ri

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen P Gordon Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971402587
PECOS Enrollment IDI20040102000537
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.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atwood Medical Associates Ltd
Same address
Pulmonary Disease
1524 ATWOOD AVENUE, SUITE 220
Johnston, RI 02919
  • Reassigned Medicare billing, Rhode Island enrollment
  • 29 clinicians in this Medicare group
NPI 1558386227 (401) 272-1900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
293 services196 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
185 services185 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services65 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
63 services62 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
35 services35 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
28 services25 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02919 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

JUDITH ADEWUYI
Nurse Practitioner (Psychiatric/Mental Health)
1524 ATWOOD AVE
JOHNSTON, RI 02919
Providence County (401) 259-0340
DR. WILLIAM J ANDREONI OPHTHALMOLOGIST
Ophthalmology
1524 ATWOOD AVE
JOHNSTON, RI 02919
Providence County (401) 272-2110
MS. LISA A MELLOW P.T.
Physical Therapist
1524 ATWOOD AVE, DBA/ROBERT BUONANNO
JOHNSTON, RI 02919
Providence County (401) 351-6200
DR. KILEY TODER M.D.
Internal Medicine
1524 ATWOOD AVE, SUITE 333
JOHNSTON, RI 02919
Providence County (401) 421-6011
ANTHONY F TESTA M.D.
Internal Medicine (Hematology & Oncology)
1524 ATWOOD AVE, SUITE340
JOHNSTON, RI 02919
Providence County (401) 273-0220
MRS. JESSICA MARIE DIROCCO APRN, FNP-BC
Nurse Practitioner (Family)
1524 ATWOOD AVE
JOHNSTON, RI 02919
Providence County (401) 274-2910
DR. TERRY WAYNE TSCHIRLEY MD
Internal Medicine (Cardiovascular Disease)
1524 ATWOOD AVE, SUITE 226
JOHNSTON, RI 02919
Providence County (401) 273-2730
DR. ROBERT ALEXANDER MARZILLI PHD
Psychologist (Clinical)
1524 ATWOOD AVE, STE. NO. 433
JOHNSTON, RI 02919
Providence County (401) 861-2190

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 Kathleen Gordon's NPI number?

The NPI number for Kathleen Gordon is 1861417354. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Kathleen Gordon located?

Kathleen Gordon practices at 1524 Atwood Ave Suite 220, Johnston, RI 02919. The listed phone number is (401) 272-1900.

What is Kathleen Gordon's specialty?

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

Is Kathleen Gordon enrolled in Medicare?

Yes. Kathleen Gordon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Gordon reassigns Medicare benefits to Atwood Medical Associates Ltd (Johnston, RI). 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 Kathleen Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kathleen Gordon affiliated with any hospitals?

According to CMS data, Kathleen Gordon is affiliated with Our Lady Of Fatima Hospital, Rhode Island Hospital, Kent County Memorial Hospital, Women & Infants Hospital Of Rhode Island and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Gordon was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.