Mikhail Mikhailovich Gorbounov, MD
NPI 1114410875ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Providence, RI
Pathology, Anatomic Pathology & Clinical Pathology (MD) in Providence, Rhode Island, trained at Johns Hopkins University School of Medicine (class of 2016). Enrolled in Medicare as practitioner - pathology.
Overview
| NPI | 1114410875 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jun 7, 2018 |
| Last updated in NPPES | Jul 8, 2024 |
| Certified by provider | Jul 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | MD19925 | RI |
| Pathology, Hematology | 207ZH0000X | A-177937 | CA |
| Pathology, Molecular Genetic Pathology | 207ZP0007X | A-177937 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (RI) |
|---|
Education and affiliations
| Medical school | Johns Hopkins University School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Pathology |
Medical groups
- Rhode Island HospitalProvidence, RI · 437 clinicians
- The Miriam HospitalEast Greenwich, RI · 172 clinicians
- Newport HospitalNewport, RI · 42 clinicians
Hospital affiliations
- Brown University Health Morton HospitalTaunton, MA
- Newport HospitalNewport, RI
- Rhode Island HospitalProvidence, RI
- Saint Anne's HospitalFall River, MA
- The Miriam HospitalProvidence, RI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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