Marissa Renee Gonzalez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P4170 Issued in TX

Practice address

220 W Hillside Rd
Ste 4a
Laredo, TX 78041

Phone

(956) 726-6937

Fax

(866) 916-2013

NPI assigned

Jun 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Family Practice

Education

University of Texas Medical School at San Antonio, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Savior Hospice Hospice, Bedford, TX, CCN 671780
• Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643
• Laredo Medical Center Hospital, Laredo, TX, CCN 450029
• La Frontera Nursing & Rehabilitation Nursing home, Laredo, TX, CCN 675030
• Laredo Medical Center Nursing home, Laredo, TX, CCN 675268

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GAJDAD/Endpoint/GAJDAD

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.

• Marissa R Gonzalez MD PLLC

  • Family Medicine Physician
  • Laredo, TX
  • NPI 1609201425
  Medicare reassignment Authorized official
• Healogics Specialty Physicians of Texas, PLLC

  • Surgery Physician
  • Allen, TX
  • NPI 1285051094

  Family Medicine

  Medicare reassignment NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Doctors Hospital of Laredo

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1396731105
  NPD (past)
• Laredo Texas Hospital Company LP

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1548232044
  NPD (past)

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

• Doctors Hospital of Laredo

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1396731105
  Care Compare affiliation
• Laredo Texas Hospital Company LP

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1548232044
  Care Compare affiliation
• Laredo Texas Hospital Company, L.P.

  • Skilled Nursing Facility
  • Laredo, TX
  • NPI 1891768628

  Nursing home

  Care Compare affiliation
• Maverick County Hospital District

  • Skilled Nursing Facility
  • Laredo, TX
  • NPI 1881425122

  Nursing home

  Care Compare affiliation
• Rolling Meadows Hospice, LLC

  • Community Based Hospice Care Agency
  • Bedford, TX
  • NPI 1295074466
  Care Compare affiliation

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1104053602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W HILLSIDE RD",
            "address_2": "STE 4A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416903",
            "telephone_number": "956-726-6937",
            "fax_number": "888-972-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W HILLSIDE RD",
            "address_2": "STE 4A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-726-6937",
            "fax_number": "866-916-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARISSA",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICIENSE",
            "identifier": "P4170",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Olvido Gonzalez, MD
• Mariana Gonzalez, MA, LPC
• Maricela Gonzalez, SLPA
• Mariell Gonzalez
• Mario Alberto Gonzalez
• Martin Gonzalez
• Melissa Gonzalez, FNP-BC
• Michelle Gonzalez, WHNP
• Michelle Gonzalez I, FNP-C
• Monica Gonzalez, OTA

• Family Medicine Physician in Laredo, TX
• Providers in Laredo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.