NPIMap

Individual provider Active NPI

Michael CHI Gong, MD

  • Urology Physician
  • Columbus, OH
National Provider Identifier
1033168802
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35.076686 Issued in OH
Practice address
300 W 10TH Ave
Columbus, OH 43210-1280
Phone
(614) 685-4263
Fax
(614) 685-4768
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35.076686 OH Primary

Addresses

Primary practice location

300 W 10TH Ave
Columbus, OH 43210-1280

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 685-4263

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgong896980@direct.osumc.edu

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000189 OH Practitioner - Urology 1254354814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Chicago, Pritzker School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osu Urology, LLCGroup PAC ID 3476565946, 37 clinicians

Practice addresses (Care Compare)

460 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 685-4263

Hospital & facility affiliations

  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.076686OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Osu Urology, LLC Urology CurrentSince Aug 15, 2020 Accepting new patients
Osu Surgery, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

460 W 10th Ave
Columbus, OH 43210
Phone (614) 293-3196

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

456 W 10th Ave
Columbus, OH 43210
Phone (614) 293-8015

2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054

300 W 10th Ave
Columbus, OH 43210
Phone (614) 293-3276

181 Taylor Ave
#13
Columbus, OH 43203

Interoperability endpoints

  • Direct secure messaging: mgong59267@direct.ccf.org

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1033168802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-685-4263",
            "fax_number": "614-685-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101280",
            "telephone_number": "614-685-4263",
            "fax_number": "614-685-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "MICHAEL",
        "middle_name": "CHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.076686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgong896980@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "460 W 10th Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432101240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.