Shoshana Gordon, DO
NPI 1740719558ActiveIndividual· Pediatrics· Royal Oak, MI
Pediatrics (DO) in Royal Oak, Michigan, licensed in MI and IL, with an NPI issued in June 2017. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1740719558 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jun 6, 2017 |
| Last updated in NPPES | Mar 15, 2021 |
| Certified by provider | Mar 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 5101025276 | MI |
| Pediatrics | 208000000X | 125070316 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (MI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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