Individual provider Active NPI

Juan Netzahualcoyotl Gonzalez, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • McAllen, TX
National Provider Identifier
1235364365
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1893 Issued in TX
Practice address
713 N Ware Rd
McAllen, TX 78501-6616
Phone
(956) 682-8496
Fax
(956) 682-0590
NPI assigned
May 19, 2009
Last updated
Jan 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1893 TX Primary

Addresses

Primary practice location

713 N Ware Rd
McAllen, TX 78501-6616

Mailing address

5263 Rustic Manor Dr
Brownsville, TX 78526-3908
Phone (956) 455-7091

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000752 TX Practitioner - Podiatry 2466503982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jose Luis Ayala DPM PAGroup PAC ID 7315946209, 3 clinicians

Practice addresses (Care Compare)

5460 Paredes Line Rd
Brownsville, TX 78526-9740
Phone (956) 621-0484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue58
Removal of nail tissue505
Removal or shaving of skin growth22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Luis Ayala DPM PA CurrentSince Jul 1, 2009 Accepting new patients

Locations

1040 W Jefferson St
Brownsville, TX 78520
Phone (956) 423-4589

5460 Paredes Line Rd
Ste 209
Brownsville, TX 78526
Phone (956) 554-0010

5700 N Expressway
Ste 305B
Brownsville, TX 78526
Phone (956) 504-1469

844 Central Blvd
Ste 140
Brownsville, TX 78520
Phone (956) 504-1469

844 Central Blvd
Ste 170
Brownsville, TX 78520
Phone (956) 504-1469

864 Central Blvd
Ste 2900
Brownsville, TX 78520
Phone (956) 462-1833

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: juan.gonzalez@jladp-tx.direct.office.nextgen.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1235364365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5263 RUSTIC MANOR DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263908",
            "telephone_number": "956-455-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N WARE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016616",
            "telephone_number": "956-682-8496",
            "fax_number": "956-682-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JUAN",
        "middle_name": "NETZAHUALCOYOTL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.