Michael G Gunlock

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

K3745 Issued in TX

Practice address

12554 Riata Vista Cir
Austin, TX 78727-6431

Phone

(512) 795-5100

Fax

(512) 795-5122

NPI assigned

Jun 9, 2005

Last updated

Jan 12, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TX, WA, CO3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

Baylor College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians

Central Washington Health Services AssociationGroup PAC ID 4880504596, 708 clinicians

Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians

Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians

Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians

Radiology Associates PAGroup PAC ID 7517953912, 103 clinicians

Public Hospital District No 4 King County WashingtonGroup PAC ID 6002700861, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036
• Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
• Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
• Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050
• Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 51)

Interoperability endpoints

• Direct secure messaging: mgunlock574349@direct.peacehealth.org

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.

• Medford Radiological Group, PC

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1407938111

  CO

  Medicare reassignment Care Compare group NPD
• Radia California Radiology Medical Group Inc

  dba Radia California

  • Diagnostic Radiology Physician
  • Santa Rosa, CA
  • NPI 1740982032

  CO

  Medicare reassignment Care Compare group NPD
• Radia Inc P S

  dba Radia

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1932196607

  CO, TX

  Medicare reassignment Care Compare group NPD
• Radia Oregon Radiology Medical Group LLC

  dba Radia Oregon

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1073385423

  CO, TX

  Medicare reassignment Care Compare group NPD
• Radiology Associates PA

  • Diagnostic Radiology Physician
  • Little Rock, AR
  • NPI 1366438186

  CO

  Medicare reassignment Care Compare group NPD
• Central Washington Health Services Association

  dba Confluence Health

  • General Acute Care Hospital
  • Wenatchee, WA
  • NPI 1881642239

  CO, TX

  Medicare reassignment Care Compare group
• Public Hospital District No 4 King County Washington

  dba Snoqualmie Valley Hospital

  • Critical Access Hospital
  • Snoqualmie, WA
  • NPI 1902846546
  Medicare reassignment Care Compare group
• Yakima Valley Memorial Physicians

  • General Acute Care Hospital
  • Yakima, WA
  • NPI 1306933940
  Medicare reassignment Care Compare group
• Austin Radiological Association

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1033196464

  CO

  Medicare reassignment NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875

  CO, Vascular & Interventional Radiology

  Medicare reassignment NPD
• Redwood Radiology Group Inc

  • Diagnostic Radiology Physician
  • Santa Rosa, CA
  • NPI 1326461708

  CO

  Medicare reassignment NPD
• Ara/St. David's Imaging, LP

  • Radiology Clinic/Center
  • Round Rock, TX
  • NPI 1720065170

  CO

  Medicare reassignment

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

• Asante

  dba Asante Rogue Regional Medical Center

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1770587107
  Care Compare affiliation
• Banner Gateway Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1699884858
  Care Compare affiliation
• Peacehealth

  dba PeaceHealth SW Heart & Vascular Center

  • Cardiovascular Disease Physician
  • Vancouver, WA
  • NPI 1003194911

  Hospital

  Care Compare affiliation
• Peacehealth

  dba PeaceHealth Southwest Medical Center

  • General Acute Care Hospital
  • Vancouver, WA
  • NPI 1134178999
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  dba Providence Santa Rosa Memorial Hospital

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  Care Compare affiliation
• Yakima Valley Memorial Hospital Association

  dba MultiCare Yakima Memorial Hospital

  • General Acute Care Hospital
  • Yakima, WA
  • NPI 1053373480
  Care Compare affiliation

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1588668370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNLOCK",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "K3745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044644504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE2",
            "identifier": "P00236577",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN2",
            "identifier": "044644507",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044644505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN1",
            "identifier": "044644506",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE",
            "identifier": "P00236577",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Kate Gumble
• Christen Gumbs, PT, DPT
• Cody Gummelt
• Chitravathi Gundappa, D.M.D.
• Christian X Gunderson
• Holly Clute Gunn, MD
• Mark L Gunn, MD
• Brooke Gunning, MS, RDN, LD
• Magen Ann Gunsolley, DNP, FNP
• Saipranay Guntaka

• Vascular & Interventional Radiology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Vascular & Interventional Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.

Verify at the official NPI Registry.