Lee Kevin Gold, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Brighton, MI
NPI 1306925136 · NPPES record last updated Apr 23, 2012
Key facts
- NPI
- 1306925136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- LG400121 (MI)
- Practice address
- 5889 Whitmore Lake Rd
Suite 1
Brighton, MI 48116-1998 - Phone
- (810) 227-4155
- Fax
- (810) 227-0845
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lee K Gold DPM PC
Practice addresses (Care Compare)
36745 5 Mile Rd
Livonia, MI 48154-1971
Phone (800) 770-4155
37650 Professional Ctr Dr
Suite 1010a
Livonia, MI 48154-1117
Phone (810) 227-4155
5889 Whitmore Lake Rd
Brighton, MI 48116-1998
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
- St Joe Mercy Hospital System Livonia
- Trinity Health Livingston Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 81 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 347 |
| Removal or shaving of skin growth | 244 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120420000472 | MI | Practitioner - Podiatry | 5294996096 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5401400121 | MI | MD | Primary Podiatric Medicine Podiatrist |
| LG400121 | MI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee K Gold DPM PC | Foot & Ankle Surgery | Current |
Accepting new patients |
Locations
5889 Whitmore Lake Rd
Brighton, MI 48116
Phone (810) 227-4155
5889 Whitmore Lake Rd
Ste 1
Brighton, MI 48116
Phone (810) 227-4155
5889 Whitmore Lake Rd
Ste A
Brighton, MI 48116
Phone (810) 227-4155
2405 E 14 Mile Rd
Sterling Hts, MI 48310
Phone (586) 264-1800
115 E Long Lake Rd
Troy, MI 48085
Phone (248) 828-7500
Interoperability endpoints
- lgold1130262@direct.hfhs.org
- lgold@direct.dmc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | LG400121 | MI | Yes |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 5401400121 | MI |
Addresses
Primary practice location
5889 Whitmore Lake Rd
Suite 1
Brighton, MI 48116-1998
Mailing address
6647 Bristol Dr
West Bloomfield, MI 48322-3263
Phone (248) 661-1974
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3113590 | Medicaid | MI | |
| 4894750020 | Other | MI | BCBS NUMBER |
Other providers in Brighton, MI
- Daniel B. Gisslen
- Giulio J Cogo DC PC
- Jennifer Glamann
- Rodney P. Goble
- Matthew Godin
- Alan David Goldberg
- Marc Goldman
- Maria Golemo
- Ciarra Nichole Gombert
- Walter A Goodell
All providers in Brighton, MI · Foot & Ankle Surgery Podiatrist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.