DR. DOUGLAS JAMES GORDON DO
NPI 1881335552
Internal Medicine in Roanoke, VA

Q: What is Douglas Gordon's NPI number?

The NPI number for Douglas Gordon is 1881335552. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Douglas Gordon'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 Douglas Gordon was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 05, 2022PECOS Enrolled

3 RIVERSIDE CIR, ROANOKE, VA 24016(540) 224-5170(540) 983-8229 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2026, May 28, 2025, Apr 5, 2022 (3 updates tracked since 2022).

On this page

About Dr. Douglas James Gordon Do NPPES

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

DR. DOUGLAS JAMES GORDON DO (NPI 1881335552) is an individual internal medicine provider in Roanoke, Virginia, licensed in Virginia (0102209354) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881335552

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. DOUGLAS JAMES GORDONCredential: DO

Location Address3 RIVERSIDE CIRRoanoke, VA 24016-4955

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713

Phone(540) 224-5170

Fax(540) 983-8229

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 5, 2022

Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1881335552 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 VA · 0102209354

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

3 RIVERSIDE CIR, Roanoke, VA 24016

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas James Gordon Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052795341

PECOS Enrollment IDI20260611001624

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.

Hospital Affiliations CMS Care Compare

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490024

Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24016 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

DR. JED DAVID GONZALO M.D.

Internal Medicine