Individual provider Active NPI

Gabriella Gonzales

  • Pediatrics Physician
  • Columbus, OH
National Provider Identifier
1225591175
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
V0748 Issued in TX
Practice address
2857 W Broad St
Columbus, OH 43204-2643
Phone
(614) 722-6200
Fax
(614) 355-9910
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35144552 OH
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 35144552 OH
Pediatrics Physician 208000000X V0748 TX Primary

Addresses

Primary practice location

2857 W Broad St
Columbus, OH 43204-2643

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 1

433 N Cleveland Ave
Westerville, OH 43082-8095
Phone (614) 355-8300

Other practice location 2

1125 E Main St
Columbus, OH 43205-1931
Phone (614) 722-6200

Other practice location 3

1390 Cleveland Ave
Columbus, OH 43211-2767
Phone (614) 722-6200

Other practice location 4

1777 E Dublin Granville Rd
Columbus, OH 43229-3502
Phone (614) 722-6200

Other practice location 5

1405 S High St
Columbus, OH 43207-1043
Phone (614) 722-6200

Other practice location 6

433 N Cleveland Ave
Westerville, OH 43082-8095
Phone (614) 722-6200

Other practice location 7

441 Industrial Mile Rd
Columbus, OH 43228-2458
Phone (614) 722-6200

Other practice location 8

4560 Morse Centre Rd
Columbus, OH 43229-6602
Phone (614) 722-6200

Other practice location 9

5070 N High St
Columbus, OH 43214-1526
Phone (614) 722-6200

Other practice location 10

579 S Yearling Rd
Columbus, OH 43213-2874
Phone (614) 722-6200

Other practice location 11

3553 Cleveland Ave
Columbus, OH 43224-2909
Phone (614) 722-6200

Other practice location 12

7901 Diley Rd Ste 150
Canal Winchester, OH 43110-9613
Phone (614) 355-9050

Other practice location 13

7450 Hospital Dr Ste 100
Dublin, OH 43016-8364
Phone (614) 355-7000

Other practice location 14

6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 355-8100

Other practice location 15

4363 All Seasons Dr Ste 100
Hilliard, OH 43026-2050
Phone (614) 355-5900

Other practice location 16

100 Colemans Xing
Marysville, OH 43040-7080
Phone (937) 578-7600

Other practice location 17

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-4411

Other practice location 18

380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (614) 722-6200

Other practice location 19

2599 S Hamilton Rd
Columbus, OH 43232-4964
Phone (614) 722-6200

Other practice location 20

4766 W Broad St
Columbus, OH 43228-1613
Phone (614) 722-6200

Other identifiers 1

IdentifierTypeStateIssuer
0004017MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230110001523 OH Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 7719213446 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35144552OHMDPediatrics Physician
V0748TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Children'S Hospital CurrentSince Sep 25, 2024 Accepting new patients
Nationwide Children'S Hospital Pediatrics CurrentSince Sep 25, 2024 Accepting new patients
Pediatric Academic Association, Inc. Pediatrics CurrentSince Feb 12, 2023 Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients

Locations

Dept 781629
Detroit, MI 48278

7901 Diley Rd
Ste 150
Canal Winchester, OH 43110
Phone (614) 355-9050

1405 S High St
Columbus, OH 43207
Phone (614) 293-3330

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

3553 Cleveland Ave
Columbus, OH 43224
Phone 6147222000 ext. 2620

6435 E Broad St
Columbus, OH 43213
Phone (614) 355-8100

5070 N High St
Columbus, OH 43214
Phone (614) 355-9500

1125 E Main St
Columbus, OH 43205
Phone (614) 355-9200

1390 Cleveland Ave
Columbus, OH 43211
Phone (614) 355-9306

Dept L289
Columbus, OH 43260

441 Industrial Mile Rd
Columbus, OH 43228
Phone (614) 355-9700

4766 W Broad St
Columbus, OH 43228
Phone (614) 851-7337

4560 Morse Centre Rd
Columbus, OH 43229
Phone (614) 355-9400

2857 W Broad St
Columbus, OH 43204
Phone (614) 355-9900

1777 E Dublin Granville Rd
Columbus, OH 43229
Phone (614) 355-9700

380 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 355-0569

2599 S Hamilton Rd
Columbus, OH 43232
Phone (614) 355-9600

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

7450 Hospital Dr
Ste 100
Dublin, OH 43016
Phone (614) 355-7000

4363 All Seasons Dr
Ste 100
Hilliard, OH 43026
Phone (614) 355-5900

100 Colemans Crossing Blvd
Marysville, OH 43040
Phone (937) 578-7600

433 N Cleveland Ave
Westerville, OH 43082
Phone (614) 355-8300

579 S Yearling Rd
Whitehall, OH 43213
Phone (614) 355-9800

Interoperability endpoints

  • Direct secure messaging: ggonzales540123@prddirect.texaschildrens.org
  • Direct secure messaging: gabriela.gonzales.1@19221.direct.athenahealth.com

Organizations & group practices 5

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1225591175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042643",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-9910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 N Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828095",
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            "telephone_number": "614-355-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 E Main St",
            "address_purpose": "LOCATION",
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            "state": "OH",
            "postal_code": "432051931",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-9210",
            "country_name": "United States",
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        },
        {
            "address_1": "1390 Cleveland Ave",
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            "postal_code": "432112767",
            "country_code": "US",
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            "fax_number": "614-355-9310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1777 E Dublin Granville Rd",
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            "state": "OH",
            "postal_code": "432293502",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-7410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 S High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432071043",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 N Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828095",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-8310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 Industrial Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432282458",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4560 Morse Centre Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432296602",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-9410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5070 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432141526",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-9510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "579 S Yearling Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432132874",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-9810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3553 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432242909",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-938-8160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Diley Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109613",
            "country_code": "US",
            "telephone_number": "614-355-9050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7450 Hospital Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430168364",
            "country_code": "US",
            "telephone_number": "614-355-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6435 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131507",
            "country_code": "US",
            "telephone_number": "614-355-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4363 All Seasons Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430262050",
            "country_code": "US",
            "telephone_number": "614-355-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Colemans Xing",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430407080",
            "country_code": "US",
            "telephone_number": "937-578-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432157508",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-5767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2599 S Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432324964",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-9610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4766 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281613",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-938-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "GABRIELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35144552",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "OH",
            "license": "35144552",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V0748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004017",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.