Active NPI
Paulo Gonzalez, DO
- Neurology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- OS20973
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122277000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL, KY, WA, OR, IA, GA, NH, MI, ND, OH, NY, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 13
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS20973 | FL | MD | Neurology Physician |
| 2025043111 | MO | MD | Neurology Physician |
| DO219289 | OR | MD | Neurology Physician |
| OP61529498 | WA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telespecialists North Carolina Neurology Services PLLC | Neurology | Current | Accepting new patients |
| Concord Hospital-Laconia | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Piedmont Athens Hospitalist Physicians LLC | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Virtual Neurology PC | Neurology | Current | Accepting new patients |
| Mercy Medical Center | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Good Samaritan Hospital Medical | Current | Accepting new patients | |
| Good Samaritan Hospital Medical Center | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Meritas Health Corporation | Neurology | Current | Accepting new patients |
| St Charles Hospital Corp | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| North Mississippi Medical Center Inc. | Neurology | Current | Accepting new patients |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Summit Healthcare Association | Neurology | Current | Accepting new patients |
| Silverton Health | Current | Accepting new patients | |
| St. Catherine of Siena Medical Center | Current | Accepting new patients | |
| Concord Hospital-Franklin | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Virtual Neurology Kansas, LLC | Neurology | Current | Accepting new patients |
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Legacy Clinics LLC | Hospitalist | Current | Accepting new patients |
| Piedmont Hospitalist Physicians LLC | Hospitalist | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Neurology | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Upson Medical Associates LLC | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Hospitalist | Current | Accepting new patients |
| Altru Health System | Current | Accepting new patients | |
| St. Joseph Hospital | Current | Accepting new patients | |
| Nchmd, Inc | Current | Accepting new patients | |
| Virtual Neurology Texas PLLC | Neurology | Current | Accepting new patients |
| Virtual Neurology, LLC | Neurology | Current | Accepting new patients |
| Meritas Health Corporation | Neurology | Current | 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
- pgonzalez2906387@carolinashealthcaresystem.direct-ci.com
- pgonzalez230507@santaclaravalley.direct-ci.net
- 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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Clinic/Center
- Grand Forks, ND
- NPI 1043309552
-
- Family Medicine Physician
- Laconia, NH
- NPI 1053993741
-
- Emergency Medicine Physician
- Concord, NH
- NPI 1194778571
-
- Physician Assistant
- West Islip, NY
- NPI 1518901180
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578079000
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
Hospitalist
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1154764819
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.