Active NPI
Audberto Cesar Antonini Gonzalez, M.D.
- Internal Medicine Physician
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 286263
- Practice address
- 277 Pleasant St
Fall River, MA 02721-3005 - Phone
- (508) 676-3292
- NPI assigned
- Aug 10, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01079499A | IN | |
| Internal Medicine Physician | 207R00000X | 286263 | MA | Primary |
Addresses
Primary practice location
277 Pleasant St
Fall River, MA 02721-3005
Mailing address
277 Pleasant St
Fall River, MA 02721-3005
Phone (508) 676-3292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001130444 | Other | IN | ANTHEM |
| 300008356 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
277 Pleasant St
Suite 305
Fall River, MA 02721-3005
Phone (508) 672-6068
Hospital & facility affiliations
- Saint Anne'S Hospital
- Southcoast Hospitals Group
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01079499A | IN | MD | Internal Medicine Physician |
| 286263 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prima Care, PC | Current | Accepting new patients | |
| Prima Care, PC | Current | Accepting new patients |
Locations
277 Pleasant St
Fall River, MA 02721
Phone (508) 617-9740
277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244
277 Pleasant St
Ste 305
Fall River, MA 02721
Phone (508) 672-1010
67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400
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.
-
- Clinic/Center
- Fall River, MA
- NPI 1265422596
-
- Orthopaedic Surgery Physician
- Fall River, MA
- NPI 1194587287
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
-
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1235486192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 PLEASANT ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213005",
"telephone_number": "508-676-3292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 PLEASANT ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213005",
"telephone_number": "508-676-3292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONINI GONZALEZ",
"first_name": "AUDBERTO",
"middle_name": "CESAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-10",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01079499A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "286263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000001130444",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300008356",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.