Individual provider Active NPI

Gonzalo A Oria, MD

  • Gynecology Physician
  • Port St Lucie, FL
National Provider Identifier
1083666325
Registry record updated Feb 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME0045423 Issued in FL
Practice address
1696 SE Hillmoor Dr
Suite a
Port St Lucie, FL 34952-7699
Phone
(772) 337-4600
Fax
(772) 337-7600
NPI assigned
May 16, 2006
Last updated
Feb 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME0045423 FL Primary

Addresses

Primary practice location

1696 SE Hillmoor Dr
Suite a
Port St Lucie, FL 34952-7699

Mailing address

1696 SE Hillmoor Dr Ste B
Port St Lucie, FL 34952-7699
Phone (772) 337-4600

Other identifiers 3

IdentifierTypeStateIssuer
96767ZOtherFLMEDICARE PROVIDER
036233600MedicaidFL
96767OtherFLBCBSFL

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
I20070126000159 FL Practitioner - Obstetrics/Gynecology 7012918527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1304 N Lawnwood Cir
Fort Pierce, FL 34950-4884
Phone (772) 489-6636

1815 S Kanner Hwy
Stuart, FL 34994-7204
Phone (772) 288-2992

1945 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5535
Phone (772) 288-2992

2815 S Seacrest Blvd
Suite 112
Boynton Beach, FL 33435-7531
Phone (561) 737-7733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0045423FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Womencare PA Single Specialty Past Accepting new patients
Marianna OB GYN Associates P a Single Specialty Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1304 N Lawnwood Cir
Fort Pierce, FL 34950
Phone (561) 489-6636

1696 SE Hillmoor Dr
Ste B
Port St Lucie, FL 34952
Phone (772) 288-2992

1945 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (561) 286-9400

1815 S Kanner Hwy
Stuart, FL 34994
Phone (772) 288-2992

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gonzalo.oria.1@2183.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1083666325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 SE HILLMOOR DR STE B",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527699",
            "telephone_number": "772-337-4600",
            "fax_number": "772-337-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 SE HILLMOOR DR",
            "address_2": "SUITE A",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527699",
            "telephone_number": "772-337-4600",
            "fax_number": "772-337-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORIA",
        "first_name": "GONZALO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME0045423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "96767Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036233600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "96767",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.