Individual provider Active NPI

Audberto Cesar Antonini Gonzalez, M.D.

  • Internal Medicine Physician
  • Fall River, MA
National Provider Identifier
1235486192
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
286263 Issued in MA
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

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000001130444OtherINANTHEM
300008356MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210505001048 MA Practitioner - Hospitalist 8426315730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

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 Hospital, Fall River, MA, CCN 220020
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01079499AINMDInternal Medicine Physician
286263MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince May 1, 2021 Accepting new patients
Prima Care, PC CurrentSince May 1, 2021 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.