NPIMap

Individual provider Active NPI

Robert Gould, MD

  • Diagnostic Radiology Physician
  • Greenfield, WI
National Provider Identifier
1669422713
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
42055 Issued in WI
Practice address
6150 W Layton Ave
Greenfield, WI 53220-4608
Phone
(414) 914-9430
NPI assigned
May 11, 2006
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 42055 WI Primary

Addresses

Primary practice location

6150 W Layton Ave
Greenfield, WI 53220-4608

Mailing address

PO Box 20859
Milwaukee, WI 53220-0859

Other identifiers 1

IdentifierTypeStateIssuer
32629500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040403000269 WI Practitioner - Diagnostic Radiology 7012820145 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milwaukee Radiologists LTDGroup PAC ID 7113915810, 16 clinicians
Medical Diagnostic Imaging LLCGroup PAC ID 0042107641, 13 clinicians

Practice addresses (Care Compare)

Mequon, WI 53092
Phone (414) 914-9430

10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 325-4700

10500 W Loomis Rd
Suite 120
Franklin, WI 53132-8030
Phone (414) 982-1741

12555 W National Ave
Suite 100
New Berlin, WI 53151-4061
Phone (262) 395-4141

3077 N Mayfair Rd
Suite 115
Wauwatosa, WI 53222-4305
Phone (414) 282-4100

3111 W Rawson Ave
Franklin, WI 53132-9417
Phone (414) 325-4300

6150 W Layton Ave
Greenfield, WI 53220-4608
Phone (414) 282-4100

707 S University Ave
Beaver Dam, WI 53916-3027
Phone (920) 887-4006

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Mar 21, 2021 Accepting new patients
Medical Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 21, 2021 Accepting new patients
Marshfield Clinic Inc CurrentSince Mar 21, 2021 Accepting new patients
Commonwealth Medical Group, LLC Diagnostic Radiology Past Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology Past Accepting new patients

Locations

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

3111 W Rawson Ave
Franklin, WI 53132
Phone (414) 325-4300

6150 W Layton Ave
Ste 110
Greenfield, WI 53220
Phone (414) 761-8346

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

6150 W Layton Ave
Milwaukee, WI 53220

4601 N Oakland Ave
Shorewood, WI 53211
Phone (414) 906-1998

3077 N Mayfair Rd
Ste 115
Wauwatosa, WI 53222
Phone (414) 847-1800

Interoperability endpoints

  • Direct secure messaging: robert.gould@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 8

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 4

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1669422713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20859",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532200859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204608",
            "telephone_number": "414-914-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "42055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32629500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.