Individual provider Active NPI

Jose Ignacio Gonzalez, MD

  • Cardiovascular Disease Physician
  • Sierra Vista, AZ
National Provider Identifier
1073601852
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21227 Issued in AZ
Practice address
157 N Coronado Dr
Ste a
Sierra Vista, AZ 85635-6360
Phone
(520) 458-1208
Fax
(520) 458-1675
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 21227 AZ
Cardiovascular Disease Physician 207RC0000X 21227 AZ Primary

Addresses

Primary practice location

157 N Coronado Dr
Ste a
Sierra Vista, AZ 85635-6360

Mailing address

PO Box 64447
Tucson, AZ 85728
Phone (520) 458-1208

Other identifiers 1

IdentifierTypeStateIssuer
12587408MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051020000456 AZ Practitioner - Cardiovascular Disease (Cardiology) 4183640014 Reassigns benefits to 1 organization
Practice locations: Sierra Vista, AZ
I20250922003897 MT Practitioner - Cardiovascular Disease (Cardiology) 4183640014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Florida College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Falls Clinic LLCGroup PAC ID 8325944499, 73 clinicians
CMSC LLCGroup PAC ID 5890602494, 92 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

1400 29TH St S
Great Falls, MT 59405-5315
Phone (406) 454-2171

1509 29TH St S
Great Falls, MT 59405-5363
Phone (406) 771-3500

3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171

3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21227AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Associates LLC Interventional Cardiology CurrentSince Jan 2, 2025 Accepting new patients
Billings Clinic Internal Medicine CurrentSince Aug 12, 2025 Accepting new patients
Billings Clinic Internal Medicine CurrentSince Aug 12, 2025 Accepting new patients
Billings Clinic Current Accepting new patients
Pima Heart Physicians, PC Cardiovascular Disease Past Accepting new patients
Banner-University Medical Group Internal Medicine Past Accepting new patients
Billings Clinic Past Accepting new patients
Goldberg Medical Services Inc Cardiovascular Disease Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Pima Heart Physicians, PC Cardiovascular Disease Past Accepting new patients
Pima Heart Physicians, PC Past Accepting new patients

Locations

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

Organizations & group practices 13

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 13

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1073601852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64447",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85728",
            "telephone_number": "520-458-1208",
            "fax_number": "520-458-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N CORONADO DR",
            "address_2": "STE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356360",
            "telephone_number": "520-458-1208",
            "fax_number": "520-458-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSE",
        "middle_name": "IGNACIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "21227",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "21227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12587408",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.