NPIMap

Individual provider Active NPI

Jeffrey M Gold, M.D.

  • Nephrology Physician
  • Royal Oak, MI
National Provider Identifier
1508804386
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301077881 Issued in MI
Practice address
3535 W 13 Mile Rd
Suite 247
Royal Oak, MI 48073-6770
Phone
(248) 288-9340
Fax
(248) 551-6020
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4301077881 MI Primary

Addresses

Primary practice location

3535 W 13 Mile Rd
Suite 247
Royal Oak, MI 48073-6770

Mailing address

1886 W Auburn Rd
Suite 400
Rochester Hills, MI 48309-3865
Phone (248) 290-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060626000263 MI Practitioner - NephrologyPractitioner - Internal Medicine 4789696220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

3577 W 13 Mile Rd
Suite 310
Royal Oak, MI 48073-6710
Phone (248) 551-2446

Hospital & facility affiliations

  • DaVita Starrwood Dialysis Dialysis facility, Royal Oak, MI, CCN 232708
  • Fresenius Kidney Care Beaumont Health - Berkley Dialysis facility, Berkley, MI, CCN 232732
  • Fresenius Kidney Care Beaumont Health - Franklin Center Dialysis facility, Southfield, MI, CCN 232666
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince May 1, 2022 Accepting new patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince May 1, 2022 Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

32255 Northwestern Hwy
Ste 150
Farmington Hills, MI 48334
Phone (248) 419-3456

30000 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 551-5000

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

3577 W 13 Mile Rd
Ste 310
Royal Oak, MI 48073
Phone (248) 329-3060

4600 Investment Dr
Ste 29
Troy, MI 48098
Phone (248) 267-5010

4600 Investment Dr
Ste 200
Troy, MI 48098
Phone (248) 267-5050

Organizations & group practices 3

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1508804386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 W AUBURN RD",
            "address_2": "SUITE 400",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093865",
            "telephone_number": "248-290-3111",
            "fax_number": "248-290-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 247",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-288-9340",
            "fax_number": "248-551-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301077881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.