Active NPI
Eittel Oppenheimer Gonzalez, MD, FACS
- Surgery Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME124884
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019411300 | Medicaid | FL |
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
Enrollment records 1
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
Practice addresses (Care Compare)
4600 SW 46TH CT
Suite 340
Ocala, FL 34474-5782
Phone (352) 291-0239
Hospital & facility affiliations
- Marion Communtiy Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 99.84
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 15 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME124884 | FL | MD | Surgery Physician |
| 12722-I | PR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Surgery | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Ocala Health Surgical Group LLC | Surgery | Current | 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
- 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ocala, FL
- NPI 1659540524
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1841237930
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.