Michael K Gordon, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

ME112396 Issued in FL

Practice address

2115 Crystal Grove Dr
Lakeland, FL 33801-6875

Phone

(863) 688-2334

Fax

(863) 577-0303

NPI assigned

Jul 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, FL2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

University of Kentucky College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology and Imaging Specialists of LakelandGroup PAC ID 2264422294, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157
• Bartow Regional Medical Center Hospital, Bartow, FL, CCN 100121
• Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
• HCA HealthOne Presbyterian St. Lukes Hospital, Denver, CO, CCN 060014

Merit-based Incentive Payment System (MIPS)

Final score

86.74 of 100Reported as group

Quality

85

Improvement activities

40

Cost

74.49

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 30)

Networks

• FL PPO
• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• Radiology & Imaging Specialists of Lakeland

  • Diagnostic Radiology Physician
  • Lakeland, FL
  • NPI 1427049931
  Medicare reassignment Care Compare group NPD
• Manatee Memorial Hospital L P

  • Other Specialist/Technologist
  • Bradenton, FL
  • NPI 1770505687
  Medicare reassignment NPD
• Spectrum Medical Imaging, LLC

  • Radiology Clinic/Center
  • Brighton, CO
  • NPI 1164881652

  Diagnostic Radiology, FL

  Medicare reassignment NPD
• Diagnostic Radiology Associates PC

  • Diagnostic Radiology Physician
  • Grand Junction, CO
  • NPI 1518947399
  Medicare reassignment
• Manatee Memorial Hospital L P

  • Radiology Clinic/Center
  • Bradenton, FL
  • NPI 1558020552
  NPD
• Manatee Memorial Hospital L P

  • Body Imaging Physician
  • Parrish, FL
  • NPI 1710347711
  NPD
• Manatee Memorial Hospital LP

  • Body Imaging Physician
  • Bradenton, FL
  • NPI 1821458829
  NPD
• Scltdi JV, LLC

  • Physiological Laboratory
  • Lafayette, CO
  • NPI 1184021099
  NPD
• Scltdi JV, LLC

  • Physiological Laboratory
  • Englewood, CO
  • NPI 1407253982
  NPD
• Scltdi JV, LLC

  • Physiological Laboratory
  • Castle Rock, CO
  • NPI 1457888398
  NPD
• Scltdi JV, LLC

  • Physiological Laboratory
  • Lakewood, CO
  • NPI 1497152920
  NPD
• Scltdi JV, LLC

  • Physiological Laboratory
  • Thornton, CO
  • NPI 1649677170
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bartow Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Bartow, FL
  • NPI 1558734095
  Care Compare affiliation
• Lakeland Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Lakeland, FL
  • NPI 1144228446
  Care Compare affiliation
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  Care Compare affiliation
• HCA Healthone LLC

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1720038946
  Care Compare affiliation

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1023248648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CRYSTAL GROVE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016875",
            "telephone_number": "863-688-2334",
            "fax_number": "863-577-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CRYSTAL GROVE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016875",
            "telephone_number": "863-688-2334",
            "fax_number": "863-577-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.005482",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME112396",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME112396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas M. Goodnight, M. D.
• Frederick Mark Goodwin, MD
• Donna Anita Gordon, AUDIOLOGIST
• Jasmine Marie Gordon, PA-C
• Malika M. Gordon, PHARMD
• Yesica Marcela Gordon, RN
• Howard Gorell, MD
• Jennie Carey Gossett, RD
• Jessica Goutzos
• Ankur Kumar Goyal, M.D., MSC

• Vascular & Interventional Radiology Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.