Active NPI
Juan Alberto Gonzalez, D.P.M.
- Podiatrist
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1282
- Practice address
- 1501 N Mesa St
Suite 104
El Paso, TX 79902-4046 - Phone
- (915) 577-0744
- Fax
- (915) 577-0271
- NPI assigned
- Jun 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1282 | TX | Primary |
Addresses
Primary practice location
1501 N Mesa St
Suite 104
El Paso, TX 79902-4046
Mailing address
5959 Gateway Blvd W
Ste 120
El Paso, TX 79925-3331
Phone (915) 779-1716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109394001 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6330 N Mesa St
Suite F
El Paso, TX 79912-4572
Phone (915) 577-0744
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 18 |
| Removal of nail tissue | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot Specialists of El Paso | Podiatrist | Current | Accepting new patients |
Locations
202 N 2nd St
Alpine, TX 79830
Phone (432) 837-5505
6559 N Mesa St
El Paso, TX 79912
Phone (915) 584-5683
1501 N Mesa St
Ste 104
El Paso, TX 79902
1501 Arizona Ave
Ste 15A
El Paso, TX 79902
1700 N Oregon St
Ste 630
El Paso, TX 79902
Phone (915) 225-0410
5959 Gateway Blvd W
Ste 120
El Paso, TX 79925
6559 N Mesa St
Ste 2
El Paso, TX 79912
6330 N Mesa St
Ste F
El Paso, TX 79912
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 and National Provider Directory roles.
-
- Podiatrist
- El Paso, TX
- NPI 1356384622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229385600000",
"number": "1245266170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 GATEWAY BLVD W",
"address_2": "STE 120",
"city": "EL PASO",
"state": "TX",
"postal_code": "799253331",
"telephone_number": "915-779-1716",
"fax_number": "915-779-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N MESA ST",
"address_2": "SUITE 104",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024046",
"telephone_number": "915-577-0744",
"fax_number": "915-577-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JUAN",
"middle_name": "ALBERTO",
"name_prefix": "Mr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2008-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109394001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.