Individual provider Active NPI

Nelly Gonzalez, MD

  • Family Medicine Physician
  • Annandale, VA
National Provider Identifier
1053352997
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101222098 Issued in VA
Practice address
7617 Little River TPK
Suite 600
Annandale, VA 22003
Phone
(703) 256-5680
Fax
(703) 658-1684
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101222098 VA Primary

Addresses

Primary practice location

7617 Little River TPK
Suite 600
Annandale, VA 22003

Mailing address

7617 Little River Turnpike
Suite 600
Annandale, VA 22003
Phone (703) 256-5680

Other names 1

  • Nelly M Gonzalez Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ngonzalez12308@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20120726000205 DC Practitioner - Family Practice 5597707711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

Practice addresses (Care Compare)

3914 Centreville Rd
Suite 250
Chantilly, VA 20151-3290
Phone (703) 435-1223

7617 Little River Tpke
Suite 600
Annandale, VA 22003-2603
Phone (703) 256-5680

7619 Little River Tpke
Suite 1000
Annandale, VA 22003-2629
Phone (703) 256-5680

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as apm
Quality
87.97
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101222098VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Family Medicine CurrentSince Jun 18, 2012 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

7617 Little River Tpke
Ste 600
Annandale, VA 22003
Phone (703) 256-5680

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

Interoperability endpoints

  • Direct secure messaging: ngonzalez12308@soc.inova.org

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 3

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1053352997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 LITTLE RIVER TURNPIKE",
            "address_2": "SUITE 600",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-256-5680",
            "fax_number": "703-658-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 LITTLE RIVER TPK",
            "address_2": "SUITE 600",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-256-5680",
            "fax_number": "703-658-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NELLY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101222098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngonzalez12308@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "7617 Little River Tpk",
            "address_2": "Suite 600",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NELLY",
            "last_name": "GONZALEZ",
            "middle_name": "M",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.