Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andrew K Gavagan, MD

Individual provider Plastic Surgery Physician · NPI 1225011596

Dr. Andrew K Gavagan, MD is a Plastic and Reconstructive Surgery in Troy, Michigan. Graduated from Indiana University School of Medicine in 1991, 35 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
35
Trained at
Indiana University School of Medicine
Licensed in
IN, MI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1080 Kirts Blvd Ste 700
Troy, MI 48084-4881
Phone: (248) 369-9300
Fax: (248) 362-5272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7901 S 12th St Ste 100, Portage, MI 49024-3831 — (269) 372-3000

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 4301057593 (MI)
Plastic Surgery Physician Taxonomy 208200000X · Licence 01096238A (IN)

Record details

NPI number1225011596
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 21, 2005
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesGENERAL SURGERY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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