Individual provider Active NPI

Eittel Oppenheimer Gonzalez, MD, FACS

  • Surgery Physician
  • Gainesville, FL
National Provider Identifier
1083920367
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME124884 Issued in FL
Practice address
1600 SW Archer Rd
Box 100286
Gainesville, FL 32610-0286
Phone
(352) 265-0761
NPI assigned
Aug 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12722-I PR
Surgery Physician 208600000X ME124884 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Box 100286
Gainesville, FL 32610-0286

Mailing address

1600 SW Archer Rd
Box 100286
Gainesville, FL 32610-0286
Phone (352) 265-0761

Other identifiers 1

IdentifierTypeStateIssuer
019411300MedicaidFL

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
I20170119002737 FL Practitioner - General Surgery 9436431855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ponce School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Health Surgical Group LLCGroup PAC ID 4082787130, 51 clinicians

Practice addresses (Care Compare)

4600 SW 46TH CT
Suite 340
Ocala, FL 34474-5782
Phone (352) 291-0239

Hospital & facility affiliations

  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
99.84
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux15
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME124884FLMDSurgery Physician
12722-IPRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Surgery CurrentSince Dec 1, 2016 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Dec 1, 2016 Accepting new patients
Ocala Health Surgical Group LLC Surgery CurrentSince Dec 1, 2023 Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1600 SW Archer Rd
#100286
Gainesville, FL 32610
Phone (352) 265-0761

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

4600 SW 46th Ct
Ste 250
Ocala, FL 34474
Phone (352) 291-2400

4600 SW 46th Ct
Ste 340
Ocala, FL 34474
Phone (352) 291-0239

4600 SW 46th Ct
Ste 310
Ocala, FL 34474
Phone (352) 291-0239

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: eittel.oppenheimergonzalez@hca5.eclinicaldirectplus.com

Organizations & group practices 3

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 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": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1083920367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "BOX 100286",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100286",
            "telephone_number": "352-265-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "BOX 100286",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100286",
            "telephone_number": "352-265-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENHEIMER GONZALEZ",
        "first_name": "EITTEL",
        "credential": "MD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "12722-I",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME124884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019411300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.