Individual provider Active NPI

Gerald Gold, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Orchard Lake, MI
National Provider Identifier
1568432151
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
001648 Issued in MI
Practice address
3206 Orchard Lake Rd
Orchard Lake, MI 48324-1633
Phone
(248) 682-6662
Fax
(248) 682-2850
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 001648 MI Primary

Addresses

Primary practice location

3206 Orchard Lake Rd
Orchard Lake, MI 48324-1633

Mailing address

3206 Orchard Lake Rd
Orchard Lake, MI 48324-1633
Phone (248) 682-6662

Other identifiers 1

IdentifierTypeStateIssuer
3463641MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060804000018 MI Practitioner - Podiatry 1153334446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew D Andrews DPM PCGroup PAC ID 9739415605, 14 clinicians

Practice addresses (Care Compare)

1221 S Ortonville Rd BLDG B
Ortonville Foot Ankle and Wound Clinic
Ortonville, MI 48462-8676
Phone (248) 627-5700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue315
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001648MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew D Andrews DPM PC Foot & Ankle Surgery CurrentSince Dec 1, 2023 Accepting new patients

Locations

455 E Grand River Ave
Ste 202
Brighton, MI 48116
Phone (248) 227-3662

1221 S Ortonville Rd
Bldg B
Ortonville, MI 48462
Phone (248) 627-5700

1221 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 627-4978

1800 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 649-2323

Interoperability endpoints

  • Direct secure messaging: gerald.gold.1@24172.direct.athenahealth.com
  • Direct secure messaging: ggold@direct.dmc.org
  • Direct secure messaging: gerald.gold.1@14250.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1568432151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 ORCHARD LAKE RD",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483241633",
            "telephone_number": "248-682-6662",
            "fax_number": "248-682-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 ORCHARD LAKE RD",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483241633",
            "telephone_number": "248-682-6662",
            "fax_number": "248-682-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "001648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3463641",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Lake, MI

Sources for this page

Verify at the official NPI Registry.