Individual provider Active NPI

Kirk Edward Gold, DPM

  • Foot & Ankle Surgery Podiatrist
  • Commerce Township, MI
National Provider Identifier
1104880269
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
KG001886 Issued in MI
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

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4448819MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050506000140 MI Practitioner - Podiatry 2860432010 Reassigns benefits to 2 organizations

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
Matthew D Andrews DPM PCGroup PAC ID 9739415605, 14 clinicians

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

ProcedureNumber of procedures
Removal of tissue22
Removal of nail tissue1581
Removal or shaving of skin growth1196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KG001886MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Motor City Podiatry Associates PC Foot & Ankle Surgery CurrentSince Dec 10, 1997 Accepting new patients
Scott M Homer DPM PC Foot & Ankle Surgery CurrentSince Mar 26, 2016 Accepting new patients
Matthew D Andrews DPM PC Foot & Ankle Surgery CurrentSince Mar 4, 2025 Accepting new patients
Grand Blanc Family Footcare, P.C. Foot & Ankle Surgery PastSince Jan 1, 2007 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 PastSince May 19, 2005 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

  • FHIR API: https://api.platform.athenahealth.com/14776/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.