Active NPI
Jared Max Gopman, M.D.
- Surgery of the Hand (Plastic Surgery) Physician
- Dunedin, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- ME161008
- Practice address
- 3129 Alternate 19
Dunedin, FL 34698-1503 - Phone
- (727) 400-4768
- NPI assigned
- Apr 21, 2016
- Last updated
- Aug 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | ME161008 | FL | Primary |
Addresses
Primary practice location
3129 Alternate 19
Dunedin, FL 34698-1503
Mailing address
5 E 98TH St, Box 1259
New York, NY 10029
Phone (212) 241-5873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of South Florida College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13201 Walsingham Rd
200 Urbaniak Plastic Surgery
Largo, FL 33774-3515
Phone (727) 261-1754
3129 Alternate
Suite 19
Dunedin, FL 34698-1503
Phone (727) 269-5618
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| LS Medical LLC | Single Specialty | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Premier Surgical Suites, LLC | Current | Accepting new patients | |
| Roderick M Urbaniak, M.D., P.a. | Single Specialty | Current | Accepting new patients |
Locations
2111 Drew St
Ste 100
Clearwater, FL 33765
Phone (727) 604-5090
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
609 Lakeview Rd
Clearwater, FL 33756
Phone (727) 447-4536
3129 Alternate 19
Dunedin, FL 34698
Phone (727) 269-5618
13201 Walsingham Rd
Ste 200
Largo, FL 33774
Phone (727) 447-4536
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCDDCA/Endpoint/GCDDCA
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.
-
- Plastic Surgery Physician
- Clearwater, FL
- NPI 1942640719
Single Specialty
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Ambulatory Surgical Clinic/Center
- Clearwater, FL
- NPI 1851006316
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morton Plant Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
dba Mease Countryside Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1265419907
-
dba Mease Dunedin Hospital
- General Acute Care Hospital
- Dunedin, FL
- NPI 1336125640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1497109847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 E 98TH ST, BOX 1259",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-241-5873",
"fax_number": "212-534-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3129 ALTERNATE 19",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346981503",
"telephone_number": "727-400-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOPMAN",
"first_name": "JARED",
"middle_name": "MAX",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "FL",
"license": "ME161008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunedin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.