Individual provider Active NPI

Ricardo H Gonzalez, MD

  • Neurology Physician
  • Sarasota, FL
National Provider Identifier
1063678035
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME112888 Issued in FL
Practice address
2881 Hyde Park St
Sarasota, FL 34239-3228
Phone
(941) 906-7155
Fax
(941) 330-2905
NPI assigned
Jul 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME112888 FL Primary

Addresses

Primary practice location

2881 Hyde Park St
Sarasota, FL 34239-3228

Mailing address

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 906-7155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ricardo.Gonzalez@img.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120522001348 FL Practitioner - Neurology 6507929957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians

Practice addresses (Care Compare)

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 906-7155

3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746

Hospital & facility affiliations

  • Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
  • Trilogy Home Healthcare Home health agency, Tampa, FL, CCN 103145
  • Empath Home Health Home health agency, Brandon, FL, CCN 683126
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME112888FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intercoastal Medical Group Inc Neurology CurrentSince Oct 10, 2014 Accepting new patients

Locations

2881 Hyde Park St
Sarasota, FL 34239
Phone (941) 366-2460

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

2881 Hyde Park St
Fl First
Sarasota, FL 34239
Phone (941) 906-7155

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

2881 Hyde Park St
Ste 1
Sarasota, FL 34239

2881 Hyde Park St
Fl 1
Sarasota, FL 34239

Interoperability endpoints

  • Direct secure messaging: ricardo.gonzalez@img.directbygreenway.com

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 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": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1063678035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 HYDE PARK ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393228",
            "telephone_number": "941-906-7155",
            "fax_number": "941-330-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 HYDE PARK ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393228",
            "telephone_number": "941-906-7155",
            "fax_number": "941-330-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RICARDO",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME112888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ricardo.Gonzalez@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2881 Hyde Park St",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342393228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.