NPIMap

Individual provider Active NPI

Pablo M Gonzalez, M.D.

  • Hematology & Oncology Physician
  • Richmond, VA
National Provider Identifier
1124080759
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101058602 Issued in VA
Practice address
1401 Johnston Willis Dr
Suite 100
Richmond, VA 23235-4730
Phone
(804) 330-7990
Fax
(804) 330-2701
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101058602 VA Primary

Addresses

Primary practice location

1401 Johnston Willis Dr
Suite 100
Richmond, VA 23235-4730

Mailing address

7202 Glen Forest Dr
Suite 200
Richmond, VA 23226-3781
Phone (804) 673-0134

Other practice location 1

6130 Harbourside Centre Loop
Ste 101
Midlothian, VA 23112-2170
Phone (804) 378-0394

Other practice location 2

8007 Discovery Dr Ste A
Richmond, VA 23229-8605
Phone (804) 287-3000

Other identifiers 4

IdentifierTypeStateIssuer
830005446OtherVARR MEDICARE
005818851MedicaidVA
237404OtherVAANTHEM BCBS VA
C01120OtherVAMEDICARE GROUP PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address www.admin@vacancer.oncoemrdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091103000302 VA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7810924131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Cancer Institute IncorporatedGroup PAC ID 8628048378, 47 clinicians

Practice addresses (Care Compare)

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 330-7990

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

Merit-based Incentive Payment System (MIPS)

Final score
87.67 of 100Reported as individual
Quality
69.33
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Institute Incorporated Hematology & Oncology CurrentSince Dec 1, 1998 Accepting new patients

Locations

7492 Right Flank Rd
Mechanicsville, VA 23116
Phone (804) 559-0736

1401 Johnston Willis Dr
Ste 100
North Chesterfield, VA 23235
Phone (804) 287-3000

263 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 431-1100

4730 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 452-3850

6605 W Broad St
Ste C
Richmond, VA 23230
Phone (804) 287-3000

8007 Discovery Dr
Ste A
Richmond, VA 23229
Phone (804) 287-3000

7202 Glen Forest Dr
Ste 200
Richmond, VA 23226
Phone (804) 673-0134

Interoperability endpoints

  • Direct secure messaging: www.admin@vacancer.oncoemrdirect.com

Organizations & group practices 2

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1124080759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GLEN FOREST DR",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263781",
            "telephone_number": "804-673-0134",
            "fax_number": "804-673-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-330-7990",
            "fax_number": "804-330-2701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6130 Harbourside Centre Loop",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122170",
            "country_code": "US",
            "telephone_number": "804-378-0394",
            "fax_number": "804-739-7649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8007 Discovery Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232298605",
            "country_code": "US",
            "telephone_number": "804-287-3000",
            "fax_number": "804-673-2731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PABLO",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101058602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "830005446",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005818851",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS VA",
            "identifier": "237404",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C01120",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "www.admin@vacancer.oncoemrdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1401 Johnston Willis Dr",
            "address_2": "Suite 100",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232354730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.