Individual provider Active NPI

Paulo Gonzalez, DO

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1033606660
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS20973 Issued in FL
Practice address
11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206
Phone
(239) 208-2206
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X OS20973 FL
Neurology Physician 2084N0400X OS20973 FL Primary
Neurology Physician 2084N0400X DO219289 OR
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 34.017903 OH
Neurology Physician 2084N0400X OP61529498 WA
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X LL51987 SC
Neurology Physician 2084N0400X 2025043111 MO

Addresses

Primary practice location

11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206

Mailing address

169 Ashley Ave RM 202
Charleston, SC 29425-6624
Phone (843) 792-3222

Other practice location 1

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Other practice location 2

169 Ashley Ave Rm 202
Charleston, SC 29425
Phone (843) 792-2575

Other practice location 3

2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

Other practice location 4

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 208-2212

Other practice location 5

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-8407

Other identifiers 1

IdentifierTypeStateIssuer
122277000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL, KY, WA, OR, IA, GA, NH, MI, ND, OH, NY, MO13 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
I20240313001493 SC Practitioner - Neurology 2668725359 Reassigns benefits to 8 organizations
I20240617002704 FL Practitioner - Neurology 2668725359 Reassigns benefits to 2 organizations
I20240703002194 KY Practitioner - Neurology 2668725359 Reassigns benefits to 1 organization
I20240731002384 WA Practitioner - Neurology 2668725359 Reassigns benefits to 1 organization
I20240801001885 OR Practitioner - Neurology 2668725359 Reassigns benefits to 2 organizations
I20240827002260 IA Practitioner - Neurology 2668725359
I20241025000646 GA Practitioner - Neurology 2668725359 Reassigns benefits to 2 organizations
I20250103002509 NH Practitioner - Neurology 2668725359 Reassigns benefits to 4 organizations
I20250115003731 MI Practitioner - Neurology 2668725359 Reassigns benefits to 1 organization
I20250611000909 ND Practitioner - Neurology 2668725359 Reassigns benefits to 1 organization
I20250701001138 OH Practitioner - Neurology 2668725359 Reassigns benefits to 1 organization
I20251017000688 NY Practitioner - Neurology 2668725359 Reassigns benefits to 5 organizations
I20251115000404 MO Practitioner - Neurology 2668725359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Nova Southeastern College of Osteo Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Piedmont Athens Hospitalist Physicians LLCGroup PAC ID 6305196411, 174 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians
Upson Medical Associates LLCGroup PAC ID 8729074059, 89 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

Charleston, SC 29407
Phone (239) 208-2212

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300

1316 Kensington Dr
Charleston, SC 29407-7737
Phone (239) 208-2212

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

2790 Clay Edwards Dr
Suite 1235
North Kansas City, MO 64116-3276
Phone (816) 691-1221

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

4029 Spring Garden St
Fort Mill, SC 29715-6000
Phone (706) 647-8111

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

80 Highland St
Laconia, NH 03246-3235
Phone (603) 524-3211

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS20973FLMDNeurology Physician
2025043111MOMDNeurology Physician
DO219289ORMDNeurology Physician
OP61529498WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Telespecialists North Carolina Neurology Services PLLC Neurology CurrentSince Jun 30, 2024 Accepting new patients
Concord Hospital-Laconia CurrentSince Dec 30, 2024 Accepting new patients
Nchmd Inc CurrentSince Jun 1, 2024 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Nov 1, 2024 Accepting new patients
Silverton Health CurrentSince Jul 17, 2024 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Oct 9, 2024 Accepting new patients
Mercy Medical Center CurrentSince Oct 28, 2025 Accepting new patients
Silverton Health Current Accepting new patients
Good Samaritan Hospital Medical CurrentSince Oct 28, 2025 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Concord Hospital, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Jan 1, 2026 Accepting new patients
St Charles Hospital Corp CurrentSince Oct 28, 2025 Accepting new patients
Concord Hospital, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2024 Accepting new patients
North Mississippi Medical Center Inc. Neurology CurrentSince May 22, 2025 Accepting new patients
Lakeland Medical Practices CurrentSince Dec 14, 2024 Accepting new patients
Altru Health System CurrentSince May 22, 2025 Accepting new patients
Mercy Medical Center CurrentSince Oct 28, 2025 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Jun 1, 2024 Accepting new patients
Silverton Health CurrentSince Jul 17, 2024 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Oct 28, 2025 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Dec 15, 2024 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince May 22, 2025 Accepting new patients
Lakeland Medical Practices CurrentSince Dec 14, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2024 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Dec 15, 2024 Accepting new patients
Virtual Neurology Kansas, LLC Neurology CurrentSince Sep 11, 2024 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
Legacy Clinics LLC Hospitalist CurrentSince Jul 17, 2024 Accepting new patients
Piedmont Hospitalist Physicians LLC Hospitalist CurrentSince Nov 1, 2024 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
Lee Health System Inc CurrentSince Feb 1, 2025 Accepting new patients
Lee Health System Inc CurrentSince Feb 1, 2025 Accepting new patients
Upson Medical Associates LLC CurrentSince Feb 24, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 17, 2024 Accepting new patients
Legacy Salmon Creek Hospital Hospitalist CurrentSince Jul 17, 2024 Accepting new patients
Altru Health System CurrentSince May 22, 2025 Accepting new patients
St. Joseph Hospital CurrentSince Oct 28, 2025 Accepting new patients
Nchmd, Inc CurrentSince Jun 1, 2024 Accepting new patients
Virtual Neurology Texas PLLC Neurology CurrentSince Apr 24, 2024 Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince Jan 29, 2024 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Jan 1, 2026 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Benefis Hospitals Inc Past Accepting new patients
Virtualhealthconnect LLC Neurology Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations (25 of 46)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

9411 N Oak Trfy
Kansas City, MO 64155
Phone (816) 453-4000

2790 Clay Edwards Dr
#1235
North Kansas City, MO 64116
Phone (816) 472-5157

2790 Clay Edwards Dr
Ste 1235
North Kansas City, MO 64116
Phone (816) 472-5157

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

250 Pleasant St
Ste 1
Concord, NH 03301

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: pgonzalez2906387@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: pgonzalez230507@santaclaravalley.direct-ci.net
  • Direct secure messaging: pgonzalez4031064@direct.trinity-health.org

Organizations & group practices 50

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.

View all 50

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1033606660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE RM 202",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294256624",
            "telephone_number": "843-792-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2000",
            "fax_number": "513-867-2119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Ashley Ave Rm 202",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29425",
            "country_code": "US",
            "telephone_number": "843-792-2575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Clay Edwards Dr Ste 1235",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163276",
            "country_code": "US",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9981 S Healthpark Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083618",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "fax_number": "239-935-5067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-413-8407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PAULO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS20973",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS20973",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "DO219289",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "OH",
            "license": "34.017903",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "OP61529498",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "LL51987",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2025043111",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122277000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.