NPIMap

Individual provider Active NPI

Osvaldo M Gonzalez, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Suitland, MD
National Provider Identifier
1104828748
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D38802 Issued in MD
Practice address
5801 Allentown Rd
Suite 500
Suitland, MD 20746-4563
Phone
(301) 899-7713
Fax
(301) 899-9430
NPI assigned
Aug 12, 2005
Last updated
Jul 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D38802 MD Primary

Addresses

Primary practice location

5801 Allentown Rd
Suite 500
Suitland, MD 20746-4563

Mailing address

5801 Allentown Rd
Suite 500
Suitland, MD 20746-4563
Phone (301) 899-7713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120628000142 DC Practitioner - EndocrinologyPractitioner - Internal Medicine 1658406715 Reassigns benefits to 1 organization
I20220330002159 MD Practitioner - Endocrinology 1658406715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Puerto Rico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Diabetes and Endocrine Associates LLCGroup PAC ID 7214299502, 13 clinicians

Practice addresses (Care Compare)

1013 S Talbot St
St Michaels, MD 21663-2637
Phone (301) 899-9430

2101 Medical Park Dr
Suite 211
Silver Spring, MD 20902-4053
Phone (301) 899-7713

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19586MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Diabetes & Endocrine Associates LLC Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2019 Accepting new patients
Endocrine & Diabetes Group of Washington, PC Endocrinology, Diabetes & Metabolism Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3995 Old Town Rd
Ste 202
Huntingtown, MD 20639
Phone (301) 870-0660

2101 Medical Park Dr
Ste 211
Silver Spring, MD 20902
Phone (301) 589-3277

1013 S Talbot St
St Michaels, MD 21663
Phone (301) 899-9430

5801 Allentown Rd
Ste 500
Suitland, MD 20746
Phone (301) 899-7713

Interoperability endpoints

  • Direct secure messaging: osvaldo.gonzalez@cdea.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1104828748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD",
            "address_2": "SUITE 500",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464563",
            "telephone_number": "301-899-7713",
            "fax_number": "301-943-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD",
            "address_2": "SUITE 500",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464563",
            "telephone_number": "301-899-7713",
            "fax_number": "301-899-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "OSVALDO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D38802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suitland, MD

Sources for this page

Verify at the official NPI Registry.