Active NPI
Michael Allen Gooden, MD
- Vascular Surgery Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 43665
- Practice address
- 1400 N Wilmot Rd
Tucson, AZ 85712-4498 - Phone
- (520) 324-4220
- Fax
- (520) 324-4221
- NPI assigned
- Oct 31, 2005
- Last updated
- Apr 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 22434 | WV | |
| Surgery Physician | 208600000X | 20030588 | NM | |
| Vascular Surgery Physician | 2086S0129X | 22434 | WV | |
| Vascular Surgery Physician | 2086S0129X | 15311 | ND | |
| Vascular Surgery Physician | 2086S0129X | 43665 | AZ | Primary |
Addresses
Primary practice location
1400 N Wilmot Rd
Tucson, AZ 85712-4498
Mailing address
5301 E Grant Rd
Tucson, AZ 85712-2874
Phone (520) 324-4780
Other practice location 1
200 Rt 98 West
Suite 107
Nutter Fort, WV 26301
Phone (304) 623-5711
Other practice location 2
201 Cedar St SE Ste 800
Albuquerque, NM 87106-4912
Phone (505) 563-2500
Other practice location 3
101 3rd Ave SW
Minot, ND 58701-3880
Phone (701) 857-5764
Other practice location 4
2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 857-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Vascular Surgery
- Education
- University of Arizona College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 N Wilmot Rd
Tucson, AZ 85712-4498
Phone (520) 324-2075
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.05 of 100
- Quality
- 60.57
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.93
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 228 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20030588 | NM | MD | Surgery Physician |
| 43665 | AZ | MD | Vascular Surgery Physician |
| 15311 | ND | MD | Vascular Surgery Physician |
| 22434 | WV | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC Medical Network | Current | Accepting new patients | |
| Trinity Hospitals | Past | Accepting new patients |
Locations
1400 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 222-8268
2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
-
- General Acute Care Hospital
- Minot, ND
- NPI 1427103910
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
-
dba Trinity Health First Response Air Ambulance
- Air Ambulance
- Minot, ND
- NPI 1053502773
Hospital
-
dba Community Ambulance Service, Inc.
- Land Ambulance
- Minot, ND
- NPI 1134310857
Hospital
-
- General Acute Care Hospital
- Minot, ND
- NPI 1427103910
-
dba Trinity Hospitals Residential Treatment Center
- Substance Abuse Rehabilitation Facility
- Minot, ND
- NPI 1457539660
Hospital
-
dba Trinity St Joseph's CDU
- Substance Use Disorder Rehabilitation Hospital Unit
- Minot, ND
- NPI 1487804092
-
- General Acute Care Hospital
- Minot, ND
- NPI 1932359544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1598756595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122874",
"telephone_number": "520-324-4780",
"fax_number": "520-324-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124498",
"telephone_number": "520-324-4220",
"fax_number": "520-324-4221"
}
],
"practiceLocations": [
{
"address_1": "200 Rt 98 West",
"address_2": "Suite 107",
"address_purpose": "LOCATION",
"city": "Nutter Fort",
"state": "WV",
"postal_code": "26301",
"country_code": "US",
"telephone_number": "304-623-5711",
"fax_number": "304-624-0461",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Cedar St SE Ste 800",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871064912",
"country_code": "US",
"telephone_number": "505-563-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 3rd Ave SW",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587013880",
"country_code": "US",
"telephone_number": "701-857-5764",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2305 37th Ave SW",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587017669",
"country_code": "US",
"telephone_number": "701-857-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODEN",
"first_name": "MICHAEL",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WV",
"license": "22434",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "20030588",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WV",
"license": "22434",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "ND",
"license": "15311",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": "43665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.