Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kevin Ray Gordon, NP

Q: What is the NPI number for Kevin Gordon?

The National Provider Identifier (NPI) for Kevin Gordon is 1124791678, a Type 1 (individual) record in the CMS NPPES registry.

Gerontology Nurse Practitioner in Indianapolis, IN · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124791678

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Registry record

Entity type Individual (Type 1)

Name Kevin Ray Gordon

Credential NP

Sex Male

Practice address 8075 N Shadeland Ave Ste 330, Indianapolis, IN, 46250

Phone (317) 355-7220

Enumeration date Jul 30, 2021

Last updated in NPPES Aug 12, 2025

Taxonomy & licenses

363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 71011370A (IN) Secondary

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 71011370A (IN) Primary

NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

Other identifiers

Identifier	Type	State	Issuer
068010712	Other	IN	MEDICARE PTAN
300053141	Medicaid	IN	-
Q00411112	Other	IN	RAILROAD PTAN
000001567906	Other	IN	ANTHEM PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kevin Gordon?

The National Provider Identifier (NPI) for Kevin Gordon is 1124791678, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kevin Gordon practice?

The practice location on file with NPPES is in Indianapolis, IN. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Deepak Guttikonda Vascular Surgery Physician · Indianapolis, IN NPI 1073542346 Michael Liddy Anesthesiology Physician · Indianapolis, IN NPI 1285845552 Brandon Downing Vascular Surgery Physician · Indianapolis, IN NPI 1962852178 Courtney Wendt Acute Care Nurse Practitioner · Indianapolis, IN NPI 1760157655

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-12.