Individual provider Active NPI

Gunateet K Goswami, MD

  • Cardiovascular Disease Physician
  • Clinton Township, MI
National Provider Identifier
1891793360
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301073226 Issued in MI
Practice address
43475 Dalcoma Dr Ste 200
Clinton Township, MI 48038-3593
Phone
(586) 228-2518
Fax
(586) 228-2517
NPI assigned
Jul 8, 2005
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301073226 MI Primary
Nuclear Cardiology Physician 207UN0901X 4301073226 MI

Addresses

Primary practice location

43475 Dalcoma Dr Ste 200
Clinton Township, MI 48038-3593

Mailing address

43475 Dalcoma Dr Ste 200
Clinton Township, MI 48038-3593
Phone (586) 228-2518

Other identifiers 1

IdentifierTypeStateIssuer
4616638MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ggoswami58342@direct.hfhs.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040908000242 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 7012983430 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Top Cardiology Associates of Michigan PLLCGroup PAC ID 8022336528, 5 clinicians

Practice addresses (Care Compare)

15717 15 Mile Rd
Clinton Township, MI 48035-2101

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

215 N Ave
Mount Clemens, MI 48043-1716
Phone (586) 228-2518

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 1, 2016 Accepting new patients
Partridge Family Physicians PC Single Specialty CurrentSince Feb 1, 2016 Accepting new patients
Top Cardiology Associates of Michigan PLLC Single Specialty CurrentSince Jan 28, 2015 Accepting new patients
Henry Ford Macomb Hospital Corporation Single Specialty CurrentSince Jan 1, 2016 Accepting new patients
Henry Ford Semi Medical Group Single Specialty Past Accepting new patients
Eds Associates Single Specialty Past Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Past Accepting new patients

Locations

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

43201 Commons Dr
Clinton Twp, MI 48038
Phone (586) 228-0780

43211 Dalcoma Dr
Ste 9
Clinton Twp, MI 48038
Phone (586) 228-2400

43475 Dalcoma Dr
Ste 200
Clinton Twp, MI 48038
Phone (586) 228-2400

215 North Ave
Mount Clemens, MI 48043
Phone (586) 307-9010

Interoperability endpoints

  • Direct secure messaging: ggoswami58342@direct.hfhs.org

Organizations & group practices 7

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 3

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1891793360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383593",
            "telephone_number": "586-228-2518",
            "fax_number": "586-228-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383593",
            "telephone_number": "586-228-2518",
            "fax_number": "586-228-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSWAMI",
        "first_name": "GUNATEET",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301073226",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MI",
            "license": "4301073226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4616638",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggoswami58342@direct.hfhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "43211 Dalcoma Dr",
            "address_2": "Suite 9",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480386309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.