Individual provider Active NPI

Manuel Jose Rovira Gonzalez, MD

  • Nephrology Physician
  • New Ringgold, PA
National Provider Identifier
1043842529
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD490593 Issued in PA
Practice address
2092 W Penn Pike
New Ringgold, PA 17960-9398
Phone
(272) 639-5370
NPI assigned
Feb 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD490593 PA Primary

Addresses

Primary practice location

2092 W Penn Pike
New Ringgold, PA 17960-9398

Mailing address

2092 W Penn Pike
New Ringgold, PA 17960-9398
Phone (272) 639-5370

Other identifiers 1

IdentifierTypeStateIssuer
MD490593MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrovira1@uw.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250814000962 PA Practitioner - Nephrology 6002239720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University Central del Caribe Escuela de Medicina, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gslpg, IncGroup PAC ID 7810226875, 269 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

100 Paramount Blvd
Orwigsburg, PA 17961-2202
Phone (484) 526-2440

1104 N St
Jim Thorpe, PA 18229-1717
Phone (484) 503-8281

1122 N St
Jim Thorpe, PA 18229-1717
Phone (484) 526-6545

1165 Centre Tpke
Orwigsburg, PA 17961-9343
Phone (272) 639-4990

120 Pine St
Tamaqua, PA 18252-1409

1299 E Broad St
Tamaqua, PA 18252-2229
Phone (570) 645-1472

1299 E Broad STR
Tamaqua, PA 18252-2229
Phone (570) 668-6541

2092 W Penn Pike
New Ringgold, PA 17960-9398
Phone (272) 639-5370

211 N 12 St
Lehighton, PA 18235-1138

360 W Riddle St
Coaldale, PA 18218-1027

500 St Lukes Dr
Lehighton, PA 18235-5000
Phone (484) 526-2200

770 State Rd
Lehighton, PA 18235-2857
Phone (272) 639-5060

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Jul 21, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Gslpg, Inc CurrentSince Jul 21, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Nephrology CurrentSince Jul 21, 2025 Accepting new patients

Locations

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

2092 W Penn Pike
New Ringgold, PA 17960
Phone (272) 639-5370

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Interoperability endpoints

  • Direct secure messaging: mroviragonzalez344549@direct-sluhn.org

Organizations & group practices 4

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 12

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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1043842529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092 W PENN PIKE",
            "city": "NEW RINGGOLD",
            "state": "PA",
            "postal_code": "179609398",
            "telephone_number": "272-639-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2092 W PENN PIKE",
            "city": "NEW RINGGOLD",
            "state": "PA",
            "postal_code": "179609398",
            "telephone_number": "272-639-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVIRA GONZALEZ",
        "first_name": "MANUEL",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD490593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD490593",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrovira1@uw.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2092 W Penn Pike",
            "city": "New Ringgold",
            "state": "PA",
            "country_code": "US",
            "postal_code": "179609398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Ringgold, PA

Sources for this page

Verify at the official NPI Registry.