NPIMap

Individual provider Active NPI

Melvin Douglas Gossman, M.D.

  • Ophthalmology Physician
  • Louisville, KY
National Provider Identifier
1144322884
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
21642 Issued in KY
Practice address
2302 Hurstbourne Village Dr
700
Louisville, KY 40299-1840
Phone
(502) 495-2122
Fax
(502) 719-0146
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 21642 KY Primary

Addresses

Primary practice location

2302 Hurstbourne Village Dr
700
Louisville, KY 40299-1840

Mailing address

1208 Bluegrass Pkwy
Lagrange, KY 40031-8014
Phone (502) 225-9488

Other identifiers 1

IdentifierTypeStateIssuer
64216427MedicaidKY

Other names 1

  • Dr. M Douglas Gossman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050815000724 KY Practitioner - Ophthalmology 2264462761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Buffalo School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2302 Hurstbourne Village Dr
Suite 700
Louisville, KY 40299-1878
Phone (502) 495-2122

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) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M. Douglas Gossman, MD, PLLC Ophthalmology CurrentSince Jul 29, 2012 Accepting new patients
Robert G. Kinker, PSC Ophthalmology Past Accepting new patients
Eye Specialists of Louisville, P.S.C. Ophthalmology Past Accepting new patients
Ophthalmology Associates, PSC Ophthalmology PastSince Feb 1, 1999 Accepting new patients

Locations

2302 Hurstbourne Village Dr
Ste 700
Louisville, KY 40299
Phone (502) 495-2122

Interoperability endpoints

  • Direct secure messaging: mdouglas.gossman@mdgmd.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FAAGCA/Endpoint/FAAGCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FAAGCA

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1144322884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BLUEGRASS PKWY",
            "city": "LAGRANGE",
            "state": "KY",
            "postal_code": "400318014",
            "telephone_number": "502-225-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 HURSTBOURNE VILLAGE DR",
            "address_2": "700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991840",
            "telephone_number": "502-495-2122",
            "fax_number": "502-719-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSMAN",
        "first_name": "MELVIN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "21642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64216427",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "GOSSMAN",
            "middle_name": "DOUGLAS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.