Active NPI
Hermilo Gonzalez Jr., MD
- Family Medicine Physician
- Buffalo, WY
National Provider Identifier
1023096153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4374A
- Practice address
- 497 W Lott St
Buffalo, WY 82834-1609 - Phone
- (307) 684-2228
- Fax
- (307) 684-2177
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arizona College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Medical Center
Practice addresses (Care Compare)
497 W Lott St
Buffalo, WY 82834-1658
Phone (307) 684-2228
Hospital & facility affiliations
- Johnson County Healthcare Center
- Johnson County Healthcare Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081202000235 | WY | Practitioner - Family Practice | 8325109978 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Center | Current | Accepting new patients | |
| Johnson County Memorial Hospital | Current | Accepting new patients |
Locations
497 W Lott St
Buffalo, WY 82834
Phone (307) 684-2228
Interoperability endpoints
- hermilogonzalez@fmcjc.allscriptsdirect.net
- https://fhir-usa.unify.chbase.com/org/johnson-806d130c
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4374A | WY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
497 W Lott St
Buffalo, WY 82834-1609
Mailing address
497 West Lott
Buffalo, WY 82834-1609
Phone (307) 684-2228
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306232 | Other | WY | BLUE CROSS |
| 306039 | Other | WY | BLUE CROSS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023096153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 WEST LOTT",
"city": "BUFFALO",
"state": "WY",
"postal_code": "828341609",
"telephone_number": "307-684-2228",
"fax_number": "307-684-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "497 W LOTT ST",
"city": "BUFFALO",
"state": "WY",
"postal_code": "828341609",
"telephone_number": "307-684-2228",
"fax_number": "307-684-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "HERMILO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "4374A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "306232",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "306039",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.