DR. KEITH GORDEY MD NPI 1104803378

NPI Information

NPI: 1104803378
Provider Name: DR. KEITH GORDEY, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
302 RANDALL RD
STE 309
GENEVA, IL
ZIP 60134
Phone: (630) 232-0202
Get Directions

DR. Keith Gordey, MD is a pulmonary disease internal medicine in Geneva, IL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Keith Gordey, MD NPI is 1104803378. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

302 RANDALL RD
STE 309
GENEVA, IL
ZIP 60134-209
Phone: (630) 232-0202
Fax: (630) 232-0479

The NPI 1104803378 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 12/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	036072678	ILLINOIS	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	036072678	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	L71494	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	COOK COUNTY
2	533560	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	DUPAGE COUNTY
3	1615809	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
4	290011762	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	RAILROAD
5	E22349	MEDICARE UPIN	ILLINOIS
6	036072678	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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