Individual provider Active NPI

Eduardo Gonzalez-Stubbe, M.D.

  • Ophthalmology Physician
  • New Orleans, LA
National Provider Identifier
1245508183
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
019558 Issued in PR
Practice address
1121 General Pershing St
New Orleans, LA 70115
Phone
(787) 934-4303
NPI assigned
Dec 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 019558 PR Primary

Addresses

Primary practice location

1121 General Pershing St
New Orleans, LA 70115

Mailing address

152 Dorado BCH E
Dorado, PR 00646-2203
Phone (787) 934-4303

Other names 1

  • Dr. Eduardo Gonzalez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20170817003310 PR Practitioner - Ophthalmology 6305142522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Instituto de Ojos Y Piel, IncGroup PAC ID 9032215959, 11 clinicians

Practice addresses (Care Compare)

11310 Ave 65 Infanteria
Carr 3 KM 12.3
Carolina, PR 00987

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
90.27
Improvement activities
40
Cost
75.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019558PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto de Ojos Y Piel, Inc Ophthalmology CurrentSince Feb 6, 2018 Accepting new patients
Instituto de Ojos Y Piel CurrentSince Feb 6, 2018 Accepting new patients
Instituto de Ojos Y Piel, Inc Past Accepting new patients

Locations

11310 Ave 65 Infanteria
#3
Carolina, PR 00987
Phone 7877692477325

Interoperability endpoints

  • Direct secure messaging: eduardo.gonzalez@ojosypiel.direct.eyemdemr.com

Organizations & group practices 3

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1245508183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 DORADO BCH E",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462203",
            "telephone_number": "787-934-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 GENERAL PERSHING ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70115",
            "telephone_number": "787-934-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-STUBBE",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-07",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "019558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDUARDO",
            "last_name": "GONZALEZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.