Umesh G Gowda, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

UG4301040816 Issued in MI

Practice address

1101 W University Dr
Rochester, MI 48307-1863

Phone

(248) 651-1155

Fax

(248) 651-8537

NPI assigned

Jul 6, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1033141783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S LIVERNOIS RD",
            "address_2": "276",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071837",
            "telephone_number": "248-651-1155",
            "fax_number": "248-651-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W UNIVERSITY DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071863",
            "telephone_number": "248-651-1155",
            "fax_number": "248-651-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDA",
        "first_name": "UMESH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "UG4301040816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0806353751",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3116565",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4983038",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Suzanne Gordon, OTR
• Wendy Terese Goryca-Rooney, MA, CCC-SLP
• Lorne M Gottesman, O.D.
• Megan Gottsleben, ACSM EP-C
• Dawn M Goulding, M.D.
• Great Lakes Hearing Care
• Daniel J Greene, M.D.
• Gregg D. Bobier, DMD, PC
• Harbhajan Kaur Grewal, MD
• Sarah Siemers Guadalupe, LMSW

• Family Medicine Physician in Rochester, MI
• Providers in Rochester, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.