Mikhail Gorbounov, MD
NPI 1114410875 · Anatomic Pathology & Clinical Pathology Physician · Providence, RI
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mikhail Gorbounov, MD is a Anatomic Pathology & Clinical Pathology Physician provider in Providence, RI (NPI 1114410875).
Provider details
- NPI number
- 1114410875
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A-177937 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-06-07
- Last updated
- 2024-07-08
- Certified
- 2024-07-08
Frequently asked questions
- What is Mikhail Gorbounov's NPI number?
- Mikhail Gorbounov's National Provider Identifier (NPI) is 1114410875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mikhail Gorbounov's specialty?
- Mikhail Gorbounov is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Mikhail Gorbounov located?
- Mikhail Gorbounov's practice location on file with NPPES is 593 Eddy St, Providence, RI 02903-4923.
- What is Mikhail Gorbounov's phone number?
- The practice phone number listed in the NPPES registry for Mikhail Gorbounov is (401) 444-5057.
- Does Mikhail Gorbounov accept Medicare?
- Mikhail Gorbounov is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mikhail Gorbounov's NPI active?
- Yes — Mikhail Gorbounov's NPI (1114410875) is active in the NPPES registry as of the last update on 2024-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.