Individual provider Active NPI

Jared Max Gopman, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Dunedin, FL
National Provider Identifier
1497109847
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
ME161008 Issued in FL
Practice address
3129 Alternate 19
Dunedin, FL 34698-1503
Phone
(727) 400-4768
NPI assigned
Apr 21, 2016
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831001062 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 4284970922 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of South Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Roderick M Urbaniak, M.D., P.a.Group PAC ID 6507007366, 4 clinicians

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

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc CurrentSince Jan 5, 2026 Accepting new patients
LS Medical LLC Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Premier Surgical Suites, LLC CurrentSince Jan 13, 2026 Accepting new patients
Roderick M Urbaniak, M.D., P.a. Single Specialty CurrentSince Jan 5, 2026 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.