Individual provider Active NPI

Michael Allen Gooden, MD

  • Vascular Surgery Physician
  • Tucson, AZ
National Provider Identifier
1598756595
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
43665 Issued in AZ
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 5

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104001572 AZ Practitioner - Vascular SurgeryPractitioner - General Surgery 6406810167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Arizona College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

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 100Reported as group
Quality
60.57
Promoting interoperability
98
Improvement activities
40
Cost
77.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20030588NMMDSurgery Physician
43665AZMDVascular Surgery Physician
15311NDMDVascular Surgery Physician
22434WVMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Apr 21, 2025 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.