Active NPI
Gordon T. Lawless, M.D.
- Body Imaging Physician
- Kalamazoo, MI
National Provider Identifier
1083668396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- 4301056366
- Practice address
- 1535 Gull Rd
Suite 200
Kalamazoo, MI 49048-1650 - Phone
- (269) 388-6350
- Fax
- (269) 388-4738
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 4301056366 | MI | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 4301056366 | MI | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301056366 | MI |
Addresses
Primary practice location
1535 Gull Rd
Suite 200
Kalamazoo, MI 49048-1650
Mailing address
1535 Gull Rd
Suite 200
Kalamazoo, MI 49048-1650
Phone (269) 388-6350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4840269 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Borgess Lee Hospital | Past | Accepting new patients | |
| Dr L Reynolds Assoc PC | Past | Accepting new patients | |
| Insight Radiology, P.C. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Dowagiac, MI
- NPI 1194771030
-
- Specialist
- Southfield, MI
- NPI 1669423265
-
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1306892740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083668396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 GULL RD",
"address_2": "SUITE 200",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481650",
"telephone_number": "269-388-6350",
"fax_number": "269-388-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 GULL RD",
"address_2": "SUITE 200",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481650",
"telephone_number": "269-388-6350",
"fax_number": "269-388-4738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLESS",
"first_name": "GORDON",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "MI",
"license": "4301056366",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301056366",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4301056366",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4840269",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.