Individual provider Active NPI

Arthur Gonzales, MD

  • General Practice Physician
  • Schertz, TX
National Provider Identifier
1265613483
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
N0798 Issued in TX
Practice address
3401 FM 3009
Schertz, TX 78154-2711
Phone
(210) 945-2121
Fax
(210) 945-2221
NPI assigned
Nov 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 40458 TX
Family Medicine Physician 207Q00000X N0798 TX
General Practice Physician 208D00000X N0798 TX Primary

Addresses

Primary practice location

3401 FM 3009
Schertz, TX 78154-2711

Mailing address

8870 US Highway 87 E
San Antonio, TX 78263-2242
Phone (210) 648-0152

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091125000155 TX Practitioner - Family Practice 1153460597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kellum Physician Partners PAGroup PAC ID 1850553058, 17 clinicians

Practice addresses (Care Compare)

3401 FM
Suite 3009
Schertz, TX 78154-2711
Phone (210) 945-2121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40458TXMDPharmacist
N0798TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kellum Physician Partners, PA Family Medicine CurrentSince Nov 10, 2014 Accepting new patients
Phynet, Inc. Past Accepting new patients

Locations

1 FM 3351 S
Ste 135
Boerne, TX 78006
Phone (210) 675-6724

7351 Marbach Rd
Ste 108
San Antonio, TX 78227

8870 US Highway 87 E
San Antonio, TX 78263
Phone (210) 649-4257

3903 Wiseman Blvd
Ste 215
San Antonio, TX 78251
Phone (210) 675-6724

7323 Marbach Rd
Ste 104
San Antonio, TX 78227
Phone (210) 674-0257

3401 Roy Richard Dr
Schertz, TX 78154
Phone (210) 675-6724

3701 FM 3009
Ste 101
Schertz, TX 78154
Phone (210) 945-2121

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1265613483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 US HIGHWAY 87 E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782632242",
            "telephone_number": "210-648-0152",
            "fax_number": "210-649-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 FM 3009",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542711",
            "telephone_number": "210-945-2121",
            "fax_number": "210-945-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "40458",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0798",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "N0798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.