1. Home
  2. Directory
  3. Michigan
  4. Troy
  5. Otolaryngology
  6. NPI Profile

THEODORE ALAN GOLDEN MD
NPI 1992914725
Otolaryngology - Facial Plastic Surgery in Troy, MI

Active since May 21, 2007Opted out of Medicare · through Mar 1, 2028
755 W BIG BEAVER, SUITE 2111, TROY, MI 48084(248) 362-2345(248) 362-1910 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore Alan Golden Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE ALAN GOLDEN MD (NPI 1992914725) is an individual facial plastic surgery provider in Troy, Michigan, licensed in Michigan (4301029488) and active in the NPI registry since May 2007. He has opted out of Medicare through March 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992914725
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameTHEODORE ALAN GOLDENCredential: MD
Location Address755 W BIG BEAVER, SUITE 2111Troy, MI 48084
Mailing Address755 W Big Beaver, Suite 2111Troy, MI 48084 · (248) 362-2345 · Fax (248) 362-1910
Phone(248) 362-2345
Fax(248) 362-1910
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1992914725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in MI · 4301029488
Definition
An otolaryngologist who specializes in facial plastic surgery.
755 W BIG BEAVER, Troy, MI 48084
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINB46325

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Theodore Alan Golden Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2016 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2016
Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Golden's NPI number?

The NPI number for Theodore Golden is 1992914725. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Theodore Golden located?

Theodore Golden practices at 755 W Big Beaver Suite 2111, Troy, MI 48084. The listed phone number is (248) 362-2345.

What is Theodore Golden's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Theodore Golden enrolled in Medicare?

No. Theodore Golden has opted out of Medicare through March 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Theodore Golden was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.