GORDON J JR. OSTRUM (M.D.) – Obstetrics & Gynecology Physician, NPI 1033175005

GORDON J JR. OSTRUM (M.D.) is a healthcare provider. based in Newark, Delaware. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. C10001861 (DE). The NPI Number for GORDON J JR. OSTRUM (M.D.) is 1033175005

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
GORDON J JR. OSTRUM (M.D.)
NPI
1033175005
Phone
(302) 454-9800
Address
4735 OGLETOWN STANTON RD
Enumeration Date
26 April 2006
Last Update Date
2 April 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
3024549800
Graduation Year
1976 (50 years ago)
PAC ID
4284650268
Group Practice PAC ID
1456332170
Professional Enrollment ID
I20100430000688

Contacts

Secure Messaging
gordon.ostrum.p1@direct.lifelinemedicalassoc.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for GORDON J JR. OSTRUM (M.D.)

  • 4735 OGLETOWN STANTON RD

    SUITE 1109

    NEWARK, DE 197132072

    Phone: (302) 454-9800

    Fax: (302) 454-6446

    Type: Mailing

  • 4745 OGLETOWN STANTON RD

    SUITE 106

    NEWARK, DE 197132067

    Phone: (302) 454-9800

    Fax: (302) 454-6446

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100430000688IObstetrics/GynecologyDETBD
I20101105001050IObstetrics/GynecologyNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19713)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456332170View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YFL
Nurse PractitionerDE
-NJ
-NJ
-DE
O B S T E T R I C S/ G Y N E C O L O G YNJ
-NJ
-DE
-NJ
Certified Nurse Midwife (Cnm)DE

Reviews

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Frequently asked questions

What is GORDON J JR. OSTRUM (M.D.)'s NPI number?
GORDON J JR. OSTRUM (M.D.)'s NPI is 1033175005 — the number used across U.S. healthcare to identify this provider.
Would GORDON J JR. OSTRUM (M.D.) appear as active to a payer?
You can treat GORDON J JR. OSTRUM (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for GORDON J JR. OSTRUM (M.D.)?
At a glance, GORDON J JR. OSTRUM (M.D.) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is GORDON J JR. OSTRUM (M.D.) associated with Newark?
Public fields place GORDON J JR. OSTRUM (M.D.) around Newark, Delaware. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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