Individual provider Active NPI

Mune Gowda, MD

  • Surgery Physician
  • Novi, MI
National Provider Identifier
1023121910
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MG037325 Issued in MI
Practice address
47601 Grand River Ave
Ste B129
Novi, MI 48374
Phone
(248) 305-8400
Fax
(348) 305-5880
NPI assigned
Aug 16, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MG037325 MI
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X MG037325 MI
Surgery Physician 208600000X MG037325 MI Primary

Addresses

Primary practice location

47601 Grand River Ave
Ste B129
Novi, MI 48374

Mailing address

47601 Grand River Ave
Ste B129
Novi, MI 48374
Phone (248) 305-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000500 MI Practitioner - Plastic and Reconstructive SurgeryPractitioner - Physical Medicine and RehabilitationPractitioner - Hand Surgery 6608856299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MG037325MIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mune Gowda MD PLLC CurrentSince Jun 13, 2009 Accepting new patients

Locations

26850 Providence Pkwy
Ste 125
Novi, MI 48374
Phone (248) 305-8400

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

47601 Grand River Ave
Ste B129
Novi, MI 48374
Phone (248) 305-8400

3270 W Big Beaver Rd
Ste 415
Troy, MI 48084
Phone (248) 305-8400

Interoperability endpoints

  • Direct secure messaging: mgowda1130438@direct.hfhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023121910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER AVE",
            "address_2": "STE B129",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48374",
            "telephone_number": "248-305-8400",
            "fax_number": "348-305-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER AVE",
            "address_2": "STE B129",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48374",
            "telephone_number": "248-305-8400",
            "fax_number": "348-305-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDA",
        "first_name": "MUNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "MG037325",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MI",
            "license": "MG037325",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "MG037325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.