Rodolfo Gonzales, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24318 Issued in AZ

Practice address

2851 S Avenue B Ste 32
Yuma, AZ 85364-7726

Phone

(928) 783-5828

Fax

(928) 373-9699

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gonzales Medical Clinic P CGroup PAC ID 4284693466, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Yuma, AZ, CCN 037280
• Amedisys Home Health Home health agency, Yuma, AZ, CCN 037192
• Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

Merit-based Incentive Payment System (MIPS)

Final score

93.4 of 100Reported as individual

Quality

79.27

Improvement activities

40

Cost

89.22

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: rodolfo.gonzales.1@2461.direct.athenahealth.com

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.

• Gonzales Medical Clinic P C

  • Internal Medicine Physician
  • Yuma, AZ
  • NPI 1447358742

  AZ

  Medicare reassignment Care Compare group Authorized official

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

• Amedisys Arizona, L.L.C.

  • Home Health Agency
  • Yuma, AZ
  • NPI 1154307924
  Care Compare affiliation
• Eh Home Health of the West, LLC

  • Home Health Agency
  • Yuma, AZ
  • NPI 1962854331
  Care Compare affiliation
• Yuma Regional Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1174587364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B STE 32",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-783-5828",
            "fax_number": "928-373-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B STE 32",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-783-5828",
            "fax_number": "928-373-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "RODOLFO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359625",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Gompert, DNP, FNP
• Venkatesh Gondhi, MD
• Gonzales Medical Clinic P C
• Jessica Gonzales
• Kindra Ann Gonzales, RN
• Alicia Gonzalez, FNP
• Arsinia Gonzalez, LCSW
• Ashley Gonzalez
• Elia Gonzalez, RN
• Glafira Gonzalez, FNP

• All providers in Yuma, AZ
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.