Individual provider Active NPI

Jose Antonio Gonzalez, PA

  • Medical Physician Assistant
  • Miami, FL
National Provider Identifier
1215499090
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9113599 Issued in FL
Practice address
13890 SW 143Rd St Unit G
Miami, FL 33186-7556
Phone
(305) 753-5408
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113599 FL
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X PA9113599 FL Primary

Addresses

Primary practice location

13890 SW 143Rd St Unit G
Miami, FL 33186-7556

Mailing address

13890 SW 143Rd St Unit G
Miami, FL 33186-7556
Phone (305) 753-5408

Other practice location 1

8950 N Kendall Dr Ste 407W
Miami, FL 33176-2132
Phone (786) 596-3876

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOS15969@cerner.directbaptisthealth.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219000864 FL Practitioner - Physician Assistant 8022423359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

6200 Sunset Dr
Suite 604
South Miami, FL 33143-4831
Phone (786) 662-8928

6200 SW 72 St
Suite 602
South Miami, FL 33143-4831
Phone (786) 662-0600

6200 SW 72ND St Mci Benign Urology
Suite 601
South Miami, FL 33143-4831
Phone (786) 596-2000

8900 N Kendall Dr
Miami, FL 33176-2118

8950 N Kendall Dr
Suite 104W
Miami, FL 33176-2131
Phone (786) 596-3876

Hospital & facility affiliations

  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
  • South Miami Hospital Hospital, Miami, FL, CCN 100154

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Oncology LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jos15969@cerner.directbaptisthealth.net

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 3

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1215499090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13890 SW 143RD ST UNIT G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867556",
            "telephone_number": "305-753-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13890 SW 143RD ST UNIT G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867556",
            "telephone_number": "305-753-5408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8950 N Kendall Dr Ste 407W",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762132",
            "country_code": "US",
            "telephone_number": "786-596-3876",
            "fax_number": "786-533-9989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113599",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOS15969@cerner.directbaptisthealth.net",
            "affiliation": "N",
            "address_1": "8950 N Kendall Dr Ste 407W",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.