Individual provider Active NPI

Penelope Gonzalez, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1104858711
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L6402 Issued in TX
Practice address
2429 Bissonnet St 736
Houston, TX 77005-1451
Phone
(713) 980-5461
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L6402 TX Primary

Addresses

Primary practice location

2429 Bissonnet St 736
Houston, TX 77005-1451

Mailing address

2429 Bissonnet St 736
Houston, TX 77005-1451
Phone (713) 980-5461

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070222000534 TX Practitioner - Internal Medicine 3476534496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2429 Bissonnet St
Suite 736
Houston, TX 77005-1451
Phone (713) 980-5461

6565 Fannin St
Houston, TX 77030-2703
Phone (281) 252-9993

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Penelope Gonzalez MD PA Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients

Locations

2429 Bissonnet St
Houston, TX 77005
Phone (504) 621-8808

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1104858711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 BISSONNET ST 736",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051451",
            "telephone_number": "713-980-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 BISSONNET ST 736",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051451",
            "telephone_number": "713-980-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PENELOPE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L6402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.