Individual provider Active NPI

Sussy A Gonzalez, RNFA, ANP-C

  • Adult Health Nurse Practitioner
  • Pearland, TX
National Provider Identifier
1265787030
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
707614 Issued in TX
Practice address
10905 Memorial Hermann Dr Ste 130
Pearland, TX 77584-3773
Phone
(713) 486-6000
Fax
(713) 486-6000
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 707614 TX
Adult Health Nurse Practitioner 363LA2200X C-APN.0000215-C-NP CO
Adult Health Nurse Practitioner 363LA2200X 707614 TX Primary

Addresses

Primary practice location

10905 Memorial Hermann Dr Ste 130
Pearland, TX 77584-3773

Mailing address

6400 Fannin St Ste 1700
Houston, TX 77030-1526
Phone (713) 486-6000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120904000093 TX Practitioner - Nurse Practitioner 5294982807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

10905 Memorial Hermann Dr
Suite 130
Pearland, TX 77584-3773
Phone (713) 486-6000

16100 S Fwy
Pearland, TX 77584-1895
Phone (713) 413-5000

5420 W Loop S
Suite 2400
Bellaire, TX 77401-2107
Phone (713) 486-3550

6410 Fannin St
Houston, TX 77030-3005

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
707614TXMDRegistered Nurse First Assistant
C-APN.0000215-C-NPCOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Mar 8, 2021 Accepting new patients
Ut Physicians CurrentSince Mar 8, 2021 Accepting new patients

Locations

6400 Fannin St
Ste 1700
Houston, TX 77030
Phone (713) 486-5527

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
Ste 1400
Houston, TX 77030
Phone (832) 325-7125

10905 Memorial Hermann Dr
Pearland, TX 77584
Phone (713) 486-6000

10905 Memorial Hermann Dr
Ste 130
Pearland, TX 77584
Phone (346) 288-8746

Interoperability endpoints

  • Direct secure messaging: sgonzalez27086@direct.uth.org

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1265787030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301526",
            "telephone_number": "713-486-6000",
            "fax_number": "713-486-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 MEMORIAL HERMANN DR STE 130",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843773",
            "telephone_number": "713-486-6000",
            "fax_number": "713-486-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SUSSY",
        "middle_name": "A",
        "credential": "RNFA, ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "707614",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "C-APN.0000215-C-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "707614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.