Kaley Elise Gonzalez, MD
Individual provider Active NPI Family Medicine Physician · York, PA
NPI 1083281133 · NPPES record last updated Jun 8, 2021
Key facts
- NPI
- 1083281133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MT223660 (PA)
- Practice address
- 1001 S George St
York, PA 17403-3676 - Phone
- (717) 851-1252
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Maryland School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellspan Medical Group
Practice addresses (Care Compare)
2775 N George St
Wellspan Family Medicine Hayshire
York, PA 17402-3020
Phone (717) 812-7300
Hospital & facility affiliations
- Wellspan York Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240801002695 | PA | Practitioner - Family Practice | 4880096585 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Family Medicine | Current |
Accepting new patients |
| York Hospital | Past | Accepting new patients |
Locations
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
2775 N George St
York, PA 17406
Phone (717) 812-7300
1600 S George St
York, PA 17403
Phone (717) 848-3615
1001 S George St
York, PA 17403
Phone (717) 812-7687
Interoperability endpoints
- kgonzalez280807@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT223660 | PA | Yes |
Addresses
Primary practice location
1001 S George St
York, PA 17403-3676
Mailing address
1001 S George St
York, PA 17403-3676
Phone (717) 851-1252
NPI Registry JSON
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1083281133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174033676",
"telephone_number": "717-851-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174033676",
"telephone_number": "717-851-1252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "KALEY",
"middle_name": "ELISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT223660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
- Gisele Goncalves Da Silva
- Anitha S. Gonsalves
- Sarah Gonzaga
- Mark A. Gonzales
- Emil David Gonzalez Marrero
- Mikaelie Sara Gonzalez
- Tana L. Gonzalez
- Good Chiropractic, P.C.
- Good Samaritan Physician Services
- Good Samaritan Physician Services
All providers in York, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.