NPIMap

Individual provider Active NPI

Benjamin David Gold, D.O.

  • Emergency Medicine Physician
  • Wyandotte, MI
National Provider Identifier
1720281280
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101016988 Issued in MI
Practice address
Henry Ford Wyandotte Hospital 2333 Biddle Ave
Wyandotte, MI 48192
Phone
(734) 246-6000
NPI assigned
Jun 11, 2007
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X O-0923 ID
Emergency Medicine Physician 207P00000X 5101016988 MI Primary

Addresses

Primary practice location

Henry Ford Wyandotte Hospital 2333 Biddle Ave
Wyandotte, MI 48192

Mailing address

22231 Larch St
Woodhaven, MI 48183-5242

Other practice location 1

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, NM, LA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100608000922 WA Practitioner - Emergency Medicine 2365506581 Reassigns benefits to 1 organization
I20160505000835 ID Practitioner - Emergency Medicine 2365506581 Reassigns benefits to 2 organizations
I20200716000660 NM Practitioner - Emergency Medicine 2365506581 Reassigns benefits to 1 organization
I20240827003987 LA Practitioner - Emergency Medicine 2365506581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Emergency Group, LLCGroup PAC ID 6800295890, 42 clinicians
Calcasieu Emergency Group LLCGroup PAC ID 4183651425, 25 clinicians

Practice addresses (Care Compare)

2531 Viking Dr
Bossier City, LA 71111-2103
Phone (318) 681-7000

524 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone (337) 436-2511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

Merit-based Incentive Payment System (MIPS)

Final score
48.64 of 100Reported as group
Quality
9.4
Improvement activities
40
Cost
82.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-0923IDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Emergency Group, LLC Emergency Medicine CurrentSince Jul 14, 2024 Accepting new patients
Calcasieu Emergency Group LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Jun 1, 2010 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Emergency Medicine CurrentSince Jan 23, 2023 Accepting new patients
Madison Memorial Hospital CurrentSince Dec 1, 2017 Accepting new patients
Hospitalist Medicine Physicians of Idaho- Nampa PLLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Las Cruces HB Medical Services LLC Emergency Medicine CurrentSince Jul 19, 2023 Accepting new patients
Northwest Accident and Injury Clinic, LLC PastSince Jan 1, 2022 Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2235

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

1453 E Bert Kouns Industrial Loop
#L
Shreveport, LA 71105

2811 N Main St
Las Cruces, NM 88001
Phone (575) 526-0080

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

3290 W 19th Ave
Kennewick, WA 99337
Phone (509) 942-2485

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d61ab3e4-55bb-4859-99e6-22c413b48f2a/

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1720281280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22231 LARCH ST",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481835242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HENRY FORD WYANDOTTE HOSPITAL 2333 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "48192",
            "telephone_number": "734-246-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 E Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837126241",
            "country_code": "US",
            "telephone_number": "208-381-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLD",
        "first_name": "BENJAMIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "O-0923",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101016988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.