NPIMap

Individual provider Active NPI

Michael A Gold, MD

  • Gynecologic Oncology Physician
  • Tulsa, OK
National Provider Identifier
1376511956
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
19758 Issued in OK
Practice address
12697 E 51St St
Tulsa, OK 74146-6236
Phone
(918) 505-3200
Fax
(918) 505-3253
NPI assigned
Mar 9, 2006
Last updated
May 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 19758 OK Primary

Addresses

Primary practice location

12697 E 51St St
Tulsa, OK 74146-6236

Mailing address

12697 E 51St St
Tulsa, OK 74146-6236
Phone (918) 505-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20060123000620 OK Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 5597789115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Jefferson Medical College of Thomas Jefferson University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 S St Louis Ave
Tulsa, OK 74120
Phone (918) 619-4400

12697 E 51St St
Tulsa, OK 74146-6236
Phone (918) 505-3200

4444 E 41St St
Tulsa, OK 74135-2527

4502 E 41S St 2
Go8
Tulsa, OK 74135-2527

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as individual
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of the uterus14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19758OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Cancer Specialists and Research Institute LLC Current Accepting new patients
Board of Regents of the University of Oklahoma Ou Physicians Tulsa CurrentSince Oct 26, 2012 Accepting new patients
Oklahoma Cancer Specialists and Research Institute LLC Gynecologic Oncology CurrentSince Feb 10, 2016 Accepting new patients
Oklahoma Cancer Specialists and Research Institute, LLC CurrentSince Feb 10, 2016 Accepting new patients
St John Medical Center Inc Past Accepting new patients
Oklahoma Cancer Specialists and Research Institute LLC Gynecologic Oncology Past Accepting new patients

Locations

901 N Strong Blvd
McAlester, OK 74501
Phone (918) 421-4621

12697 E 51st St
Tulsa, OK 74146
Phone (918) 505-3200

1111 S Saint Louis Ave
Tulsa, OK 74120
Phone (918) 619-4600

Interoperability endpoints

  • Direct secure messaging: mgold28471@ouhealth.direct-ci.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1376511956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12697 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466236",
            "telephone_number": "918-505-3200",
            "fax_number": "918-505-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12697 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466236",
            "telephone_number": "918-505-3200",
            "fax_number": "918-505-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "OK",
            "license": "19758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.