Individual provider Active NPI

Dani Odette Gonzalez

  • Pediatric Surgery Physician
  • Austin, TX
National Provider Identifier
1124387774
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
T1947 Issued in TX
Practice address
1301 Barbara Jordan Blvd Ste 400
Austin, TX 78723-3078
Phone
(512) 708-1234
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X T1947 TX Primary

Addresses

Primary practice location

1301 Barbara Jordan Blvd Ste 400
Austin, TX 78723-3078

Mailing address

1301 Barbara Jordan Blvd Ste 400
Austin, TX 78723-3078
Phone (512) 708-1234

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
I20210714001522 TX Practitioner - General Surgery 5799105409 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgeons Who Only Care for Kids, PA Pediatric Surgery CurrentSince Aug 1, 2021 Accepting new patients
Surgeons Who Only Care for Kids, PA CurrentSince Aug 1, 2021 Accepting new patients
Ascension Seton Past Accepting new patients

Locations

1301 Barbara Jordan Blvd
Austin, TX 78723
Phone (512) 324-0098

1301 Barbara Jordan Blvd
Ste 400
Austin, TX 78723
Phone (512) 708-4567

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

1301 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 324-0975

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8363/brand/2/csg/1/fhir/r4
  • Direct secure messaging: dani.gonzalez.1@8363.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1124387774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233078",
            "telephone_number": "512-708-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233078",
            "telephone_number": "512-708-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DANI",
        "middle_name": "ODETTE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "T1947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.