Melvin R Gonzaga, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

D22148 Issued in MD

Practice address

957 National Hwy, Ste 3
Attn: Melvin Gonzaga
Lavale, MD 21501-0929

Phone

(240) 362-7128

Fax

(240) 362-7129

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

No

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.

• Garrett Anesthesia and Pain Management

  • Pain Medicine Physician
  • Lavale, MD
  • NPI 1073608253

  MD

  Medicare reassignment Care Compare group NPD Authorized official
• Garrett Anesthesia and Pain Management

  • Pain Medicine Physician
  • Lavale, MD
  • NPI 1104276211
  NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Upmc Western Maryland Corporation

  • Mental Illness Community Based Residential Treatment Facility
  • Cumberland, MD
  • NPI 1174141592

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  • General Acute Care Hospital
  • Cumberland, MD
  • NPI 1609831247

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  • Hearing and Speech Clinic/Center
  • Cumberland, MD
  • NPI 1740969245

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  • Clinic/Center
  • Cumberland, MD
  • NPI 1780251850

  Hospital

  Care Compare affiliation
• Potomac Valley Hospital of W VA , Inc

  • Critical Access Hospital
  • Keyser, WV
  • NPI 1912979873

  Hospital

  Care Compare affiliation

Specialty

Interventional Pain ManagementAlso: Pain Management

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Garrett Anesthesia and Pain Management 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027
• Potomac Valley Hospital Hospital, Keyser, WV, CCN 511315

Merit-based Incentive Payment System (MIPS)

Final score

23.35 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.84

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2013.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1104842566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 NATIONAL HWY, STE 3",
            "address_2": "ATTN: MELVIN GONZAGA",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215010929",
            "telephone_number": "240-362-7128",
            "fax_number": "240-362-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 NATIONAL HWY, STE 3",
            "address_2": "ATTN: MELVIN GONZAGA",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215010929",
            "telephone_number": "240-362-7128",
            "fax_number": "240-362-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZAGA",
        "first_name": "MELVIN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D22148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961521100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Anesthesia and Pain Management
• Garrett Anesthesia and Pain Management
• General Hearing Aid Centers, Inc.
• Lauren Marie Gianni, PHARMD
• Mary L Glanville, LPN
• Rosario Gonzaga, MD
• Guided Growth Counseling Services, LLC
• Samantha Guthrie
• Brandi Love Haas, CRNP
• Charles T Hager, DDS

• All providers in Lavale, MD
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.