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

Dr. Mikhail Mikhailovich Gorbounov, MD

Individual provider Hematology (Pathology) Physician · NPI 1114410875

Dr. Mikhail Mikhailovich Gorbounov, MD is a Pathology in Providence, Rhode Island. Graduated from Johns Hopkins University School of Medicine in 2016, 10 years ago. Practices with Newport Hospital, a 43-clinician group and accepts Medicare assignment. Licensed in California and Rhode Island.

Years since qualifying
10
Trained at
Johns Hopkins University School of Medicine
Licensed in
CA, RI
In the registry since
2018
Specialties on file
3
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

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5057
Fax: (401) 606-1233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD19925 (RI)
Hematology (Pathology) Physician Taxonomy 207ZH0000X · Licence A-177937 (CA)
Molecular Genetic Pathology (Pathology) Physician Taxonomy 207ZP0007X · Licence A-177937 (CA)

Record details

NPI number1114410875
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 7, 2018
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Newport Hospital — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Providence