Individual provider Active NPI

Mark S Gonzalez, MD

  • Cardiovascular Disease Physician
  • McAllen, TX
National Provider Identifier
1164418711
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H0391 Issued in TX
Practice address
100 E Ridge Rd
Suite #a
McAllen, TX 78503-1345
Phone
(956) 682-1888
Fax
(956) 661-2204
NPI assigned
Sep 20, 2005
Last updated
Jan 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X H0391 TX Primary

Addresses

Primary practice location

100 E Ridge Rd
Suite #a
McAllen, TX 78503-1345

Mailing address

PO Box 4449
McAllen, TX 78502-4449
Phone (956) 362-2171

Other identifiers 2

IdentifierTypeStateIssuer
143824403MedicaidTX
143824402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20201014002337 LA Practitioner - Cardiovascular Disease (Cardiology) 8224084116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Medical School at Houston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

200 W Esplanade Ave
Ochsner Clinic Kenner Mob
Kenner, LA 70065-2489
Phone (504) 842-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 17, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 17, 2020 Accepting new patients
Ochsner Bayou LLC Current Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Florida Neurology & Epilepsy Specialists PL PastSince Jul 18, 2011 Accepting new patients
Texas Children's Physician Group PastSince Jan 10, 2010 Accepting new patients

Locations

200 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-2940

1514 Jefferson Hwy
New Orleans, LA 70121

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

Interoperability endpoints

  • Direct secure messaging: mgonzalez924209@direct.ochsner.org

Organizations & group practices 7

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 5

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1164418711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4449",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024449",
            "telephone_number": "956-362-2171",
            "fax_number": "956-661-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E RIDGE RD",
            "address_2": "SUITE #A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031345",
            "telephone_number": "956-682-1888",
            "fax_number": "956-661-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H0391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143824403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143824402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.