Individual provider Active NPI

Maria Guadalupe Gonzalez, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1205966413
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1866 Issued in TX
Practice address
7500 Beechnut St Ste 352
Houston, TX 77074-4337
Phone
(713) 666-3200
Fax
(713) 666-3201
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L1866 TX Primary

Addresses

Primary practice location

7500 Beechnut St Ste 352
Houston, TX 77074-4337

Mailing address

226 Flamingo Island Dr
Missouri City, TX 77459-4610
Phone (281) 835-6230

Other identifiers 2

IdentifierTypeStateIssuer
167069701MedicaidTX
352226687OtherTXFAMILY PRACTICE

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
I20250121001679 TX Order and Referring Only - Family PracticePractitioner - Family Practice 6507836921

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1866TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria G. Gonzalez, M.D., Dabfp, P.a. Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBEAAA/Endpoint/BBEAAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1205966413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 FLAMINGO ISLAND DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594610",
            "telephone_number": "281-835-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST STE 352",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744337",
            "telephone_number": "713-666-3200",
            "fax_number": "713-666-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167069701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE",
            "identifier": "352226687",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.