Roger L Gonda Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301047458 Issued in MI

Practice address

6245 Inkster Rd
Garden City, MI 48135-4001

Phone

(734) 458-3412

Fax

(734) 677-7407

NPI assigned

Jun 16, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Diagnostic Radiology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Radiology Consultants P.C.Group PAC ID 7416485040, 52 clinicians

Southfield Radiology Associates, PLLCGroup PAC ID 6800877481, 38 clinicians

Henry Ford Health Providence HospitalGroup PAC ID 6103738703, 364 clinicians

Ain Imaging PLCGroup PAC ID 1355513003, 15 clinicians

NDS Radiology PLLCGroup PAC ID 2062408875, 15 clinicians

Basha Diagnostics P CGroup PAC ID 5890681746, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
• Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
• Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
• Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: rgonda1130314@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ain Imaging PLC

  • Diagnostic Neuroimaging (Radiology) Physician
  • Farmington Hills, MI
  • NPI 1437441714

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Art of Radiology Imaging Associates, PLLC

  • Diagnostic Radiology Physician
  • Grand Blanc, MI
  • NPI 1003571076
  Medicare reassignment NPD Authorized official
• Basha Diagnostics P C

  • Diagnostic Radiology Physician
  • Royal Oak, MI
  • NPI 1770693798
  Medicare reassignment Care Compare group NPD
• Henry Ford Health Providence Hospital

  • Surgery Physician
  • Southfield, MI
  • NPI 1942265236
  Medicare reassignment Care Compare group NPD
• NDS Radiology Inc.

  • Diagnostic Radiology Physician
  • Novi, MI
  • NPI 1649418211
  Medicare reassignment Care Compare group NPD
• Prime Radiology Consultants P.C.

  • Diagnostic Radiology Physician
  • Owosso, MI
  • NPI 1811723679
  Medicare reassignment Care Compare group NPD
• Southfield Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • Southfield, MI
  • NPI 1871525915
  Medicare reassignment Care Compare group NPD
• Henry Ford Medical Group Genesys

  • Family Medicine Physician
  • Burton, MI
  • NPI 1598248718
  Medicare reassignment NPD
• Jawad a Shah, MD PC

  • Specialist
  • Flint, MI
  • NPI 1942402391

  Diagnostic Radiology

  Medicare reassignment NPD
• VMD Primary Providers Eastern Michigan, PC

  • Family Medicine Physician
  • Novi, MI
  • NPI 1336625540
  Medicare reassignment NPD
• Southfield Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • Garden City, MI
  • NPI 1831103670
  NPD Authorized official
• Henry Ford Health Genesys Hospital

  • Certified Registered Nurse Anesthetist
  • Grand Blanc, MI
  • NPI 1558517367
  Medicare reassignment

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

• Henry Ford Health Genesys Hospital

  • General Acute Care Hospital
  • Grand Blanc, MI
  • NPI 1407877723
  Care Compare affiliation
• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation
• Henry Ford Health Rochester Hospital

  • General Acute Care Hospital
  • Rochester, MI
  • NPI 1437176203
  Care Compare affiliation
• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Care Compare affiliation
• Henry Ford Health St. John Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  Care Compare affiliation

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1821032277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "address_2": "ATTENTION: LYNDA THOMPSON",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481061108",
            "telephone_number": "734-677-7400",
            "fax_number": "734-677-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354001",
            "telephone_number": "734-458-3412",
            "fax_number": "734-677-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDA",
        "first_name": "ROGER",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301047458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4437744",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Gitterman, M.A.,CCC-A
• GM Consultation, LLC
• Edward C Goldberg, D.O.
• Golden Imperial Staffing Agency Inc.
• Stephen B Goldfarb, D.O.
• Good Neighbor Pharmacy of Garden City L.L.C.
• Sai Tharun Reddy Gopannagari, M.D.
• Lisa Govila, M.D.
• Aaron Goyal, MD
• Gale Ellen Grabowski, OD

• Diagnostic Radiology Physician in Garden City, MI
• Providers in Garden City, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.