Antonio Victor Prudente Gonzalez, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

T2172 Issued in TX

Practice address

118 Lynn Ave Ste 100
Lewisville, TX 75057-3706

Phone

(214) 396-8877

Fax

(214) 983-0983

NPI assigned

Feb 12, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Infectious Disease

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sujatha Krishnan MD PAGroup PAC ID 0244593069, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068
• Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743
• Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agonzalez1826847@direct.texashealth.org

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.

• Sujatha Krishnan MD PA

  • Infectious Disease Physician
  • Frisco, TX
  • NPI 1518400738
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of Lewisville Subsidiary LP

  dba Medical City Lewisville

  • General Acute Care Hospital
  • Lewisville, TX
  • NPI 1255384533
  Care Compare affiliation
• Flower Mound Hospital Partners, LLC

  dba Texas Health Presbyterian Hospital Flower Mound

  • General Acute Care Hospital
  • Flower Mound, TX
  • NPI 1902047376
  Care Compare affiliation
• Texas Health Presbyterian Hospital Denton

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1003883158
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1073781142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 COIT RD",
            "address_2": "STE 409",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350526",
            "telephone_number": "214-396-8877",
            "fax_number": "214-983-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LYNN AVE STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573706",
            "telephone_number": "214-396-8877",
            "fax_number": "214-983-0983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4461 Coit Rd Ste 409",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750350526",
            "country_code": "US",
            "telephone_number": "214-396-8877",
            "fax_number": "214-983-0983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANTONIO VICTOR",
        "middle_name": "PRUDENTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101242453",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "T2172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Hour Counseling Collective
• Golden Triangle Anesthesia Services, PC (Joanne Lewis, CRNA)
• Renee Zariyah Golden, LPC ASSOCIATE
• Alexandra Jennifer Goldman, M.D.
• Jessica D Golias, COTA
• Christopher Gonzalez
• Kayla Marie Gonzalez, DPT
• Martin Gonzalez, DDS
• Goodcare24 LLC
• Kerri Goodspeed, M.S. CCC-SLP

• Infectious Disease Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.

Verify at the official NPI Registry.