Active NPI
Kirk Edward Gold, DPM
- Foot & Ankle Surgery Podiatrist
- Commerce Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- KG001886
- Practice address
- 2075 E West Maple Rd
Suite B-207
Commerce Township, MI 48390-3816 - Phone
- (248) 669-3870
- Fax
- (248) 669-3866
- NPI assigned
- Apr 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | KG001886 | MI | Primary |
Addresses
Primary practice location
2075 E West Maple Rd
Suite B-207
Commerce Township, MI 48390-3816
Mailing address
2075 E West Maple Rd
Suite B-207
Commerce Township, MI 48390-3816
Phone (248) 669-3870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4448819 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 W Big Beaver Rd
150 Atlas Troy
Troy, MI 48084-3535
Phone (248) 808-6012
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 22 |
| Removal of nail tissue | 1581 |
| Removal or shaving of skin growth | 1196 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KG001886 | MI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motor City Podiatry Associates PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Scott M Homer DPM PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Matthew D Andrews DPM PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Grand Blanc Family Footcare, P.C. | Foot & Ankle Surgery | Past | Accepting new patients |
| Grand Blanc Footcare Specialists, P.L.L.C. | Foot & Ankle Surgery | Past | Accepting new patients |
| Jeffrey Danto DPM | Past | Accepting new patients | |
| Ropp Orthopedic Clinic LLC | Past | Accepting new patients |
Locations
5649 Schaefer Rd
Dearborn, MI 48126
Phone (313) 582-3820
1221 S Ortonville Rd
Bldg B
Ortonville, MI 48462
Phone (248) 627-5700
1221 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 627-4978
27609 Little Mack Ave
St Clr Shores, MI 48081
Phone (586) 274-7070
1800 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 649-2323
23423 Ryan Rd
Warren, MI 48091
Phone (586) 755-0022
Interoperability endpoints
- https://api.platform.athenahealth.com/14776/brand/1/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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.
-
- Foot & Ankle Surgery Podiatrist
- Troy, MI
- NPI 1992363097
-
- Foot & Ankle Surgery Podiatrist
- Grand Blanc, MI
- NPI 1659341378
-
- Foot & Ankle Surgery Podiatrist
- Grand Blanc, MI
- NPI 1801866520
-
- Podiatrist
- Waterford, MI
- NPI 1407971179
-
- Prosthetic/Orthotic Supplier
- Commerce Township, MI
- NPI 1104802784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1104880269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 E WEST MAPLE RD",
"address_2": "SUITE B-207",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483903816",
"telephone_number": "248-669-3870",
"fax_number": "248-669-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 E WEST MAPLE RD",
"address_2": "SUITE B-207",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483903816",
"telephone_number": "248-669-3870",
"fax_number": "248-669-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "KIRK",
"middle_name": "EDWARD",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "KG001886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4448819",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Commerce Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.