DR. RENAULDO GORDON – Internal Medicine Physician, NPI 1073998670

DR. RENAULDO GORDON is a healthcare provider. based in Brooklyn, New York. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold a License No. XXXXXXXX (NY). The NPI Number for DR. RENAULDO GORDON is 1073998670

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. RENAULDO GORDON
NPI
1073998670
Phone
(646) 673-1317
Address
1503 SAINT JOHNS PL
Enumeration Date
23 July 2015
Last Update Date
28 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9287632273
Graduation Year
2009 (17 years ago)
PAC ID
9032461777
Group Practice PAC ID
8820138076
Professional Enrollment ID
I20181009000563
Address ID
AZ864427924BU2735XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

18,109 INTERNAL MEDICINE in NY

Provider Addresses for DR. RENAULDO GORDON

  • 1503 SAINT JOHNS PL

    BROOKLYN, NY 112133910

    Phone: (646) 673-1317

    Mailing address matches the actual address.

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: 2024-04-25

PECOS data refreshed: 2026-06-15

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
I20181009000563IInternal MedicineAZTBD
I20240425002305IInternal MedicineFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes430170$0
99239Hospital discharge day management, more than 30 minutes182173$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9356$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8581$0
99291Critical care, first 30-74 minutes2712$0
View full utilization report →

Insurance plans in this area (ZIP 11213)

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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: 8820138076View full group profile
NameSpecialtyState
Internal MedicineLA
Family PracticeME
Internal MedicineNY
-AZ
Hospitalist, Internal Medicine, Internal MedicineMD
Internal MedicineAZ
-KY
-AZ
Internal MedicineAZ
Family PracticeAZ

Reviews

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Frequently asked questions

Can I verify DR. RENAULDO GORDON with an NPI only?
You can start verification with NPI 1073998670 for DR. RENAULDO GORDON, then check state licensing separately.
Does CMS list DR. RENAULDO GORDON as active?
Yes — DR. RENAULDO GORDON is active in the NPI listing used on this page.
What healthcare role does DR. RENAULDO GORDON hold?
Scheduling teams often label DR. RENAULDO GORDON under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. RENAULDO GORDON list a practice location?
Patients near Brooklyn, New York may find DR. RENAULDO GORDON in results; validate coverage separately.
Why does DR. RENAULDO GORDON have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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