Individual provider Active NPI

Elizabeth B Gould, M.D.

  • Specialist
  • Menlo Park, CA
National Provider Identifier
1063631190
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
000G65624 Issued in CA
Practice address
695 Oak Grove Ave
Suite 220
Menlo Park, CA 94025-4351
Phone
(650) 327-5783
Fax
(650) 327-5510
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 000G65624 CA Primary

Addresses

Primary practice location

695 Oak Grove Ave
Suite 220
Menlo Park, CA 94025-4351

Mailing address

695 Oak Grove Ave
Suite 220
Menlo Park, CA 94025-4351
Phone (650) 327-5783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080304000798 CA Practitioner - Dermatology 9032294897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William M Gould M D IncGroup PAC ID 9931149473, 3 clinicians

Practice addresses (Care Compare)

695 Oak Grove Ave
Suite 220
Menlo Park, CA 94025-4371
Phone (650) 327-5783

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions1214
Skin biopsy162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000G65624CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
William M Gould MD Inc CurrentSince Nov 1, 2007 Accepting new patients
Stanford Health Care PastSince Nov 1, 2007 Accepting new patients

Locations

695 Oak Grove Ave
Ste 220
Menlo Park, CA 94025
Phone (650) 327-5783

Organizations & group practices 2

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 7

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1063631190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 OAK GROVE AVE",
            "address_2": "SUITE 220",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254351",
            "telephone_number": "650-327-5783",
            "fax_number": "650-327-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 OAK GROVE AVE",
            "address_2": "SUITE 220",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254351",
            "telephone_number": "650-327-5783",
            "fax_number": "650-327-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "ELIZABETH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "000G65624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.