Active NPI
Pierre J. Gonsalves, MD
- Internal Medicine Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 257747
- Practice address
- 315 S Manning Blvd
Albany, NY 12208-1707 - Phone
- (518) 525-1550
- NPI assigned
- Jun 13, 2008
- Last updated
- Jul 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA08969100 | NJ | |
| Internal Medicine Physician | 207R00000X | 2014025197 | MO | |
| Internal Medicine Physician | 207R00000X | 13624 | NV | |
| Hospitalist Physician | 208M00000X | 257747 | NY | |
| Hospitalist Physician | 208M00000X | C173014 | CA | |
| Internal Medicine Physician | 207R00000X | 257747 | NY | Primary |
Addresses
Primary practice location
315 S Manning Blvd
Albany, NY 12208-1707
Mailing address
PO Box 15645
Sma Medical Staff Office
Las Vegas, NV 89114-5645
Phone (702) 560-2874
Other practice location 1
2720 N Tenaya Way
Las Vegas, NV 89128-0424
Phone (702) 560-2874
Other practice location 2
2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300
Other practice location 3
600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3321
Other practice location 4
1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 446-3551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MO, NY, AR, TN, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1125 Madison St
Jefferson City, MO 65101-5227
Phone (573) 635-7141
401 W Poplar St
Walla Walla, WA 99362-2846
Phone (509) 897-3320
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-4923
850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08969100 | NJ | MD | Internal Medicine Physician |
| 13624 | NV | MD | Internal Medicine Physician |
| 257747 | NY | MD | Internal Medicine Physician |
| C173014 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Hospital of Troy, New York | Internal Medicine | Current | Accepting new patients |
| The Curators of the University of Missouri | Current | Accepting new patients | |
| Curators of the University of Missouri | Current | Accepting new patients | |
| St. Peter's Hospital of the City of Albany | Internal Medicine | Current | Accepting new patients |
| St. Peter's Hospital of the City of Albany | Internal Medicine | Current | Accepting new patients |
| Baptist Health | Current | Accepting new patients | |
| West Tennessee Healthcare Hospitalists Inc | Hospitalist | Current | Accepting new patients |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Cogent Medical Care PC | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Washington | Internal Medicine | Current | Accepting new patients |
| Baptist Health | Current | Accepting new patients | |
| Arkansas Health Group | Internal Medicine | Current | Accepting new patients |
| Arkansas Health Group | Current | Accepting new patients |
Locations
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995
9601 Interstate 630
Little Rock, AR 72205
Phone (501) 202-2300
9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995
3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000
1235 E Cherokee St
Slp Ctr
Springfield, MO 65804
Phone (417) 820-5467
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331
70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333
401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731
Interoperability endpoints
- pgonsalves32561@directepic.wth.org
- pgonsalves380638@direct.baptist-healthar.org
- pierregonsalves@rrh.medalliesdirect.net
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Providence Medical Group Southeast Washington
- Family Medicine Physician
- Walla Walla, WA
- NPI 1922259738
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Hospitalist Physician
- Jackson, TN
- NPI 1720635188
-
dba University Medical Center
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1740397751
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Internal Medicine
-
dba St. Peter's Hospital
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
Internal Medicine
-
dba Internal Medicine Associates of North Little Rock
- Internal Medicine Physician
- Maumelle, AR
- NPI 1932118890
-
dba BMC Physician Clinic
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1578593067
-
dba DCH Regional Medical Center
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Internal Medicine
-
dba Baptist Health Surgical Clinic-Stuttgart
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Capital Region Medical Center
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
dba University of Missouri Health Care
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
dba Providence St Mary Medical Center
- General Acute Care Hospital
- Walla Walla, WA
- NPI 1386895886
-
dba DCH Health & Wellness Clinic
- Clinic/Center
- Tuscaloosa, AL
- NPI 1306613211
Hospital
-
dba DCH Outpatient Services
- Clinic/Center
- Tuscaloosa, AL
- NPI 1780927681
Hospital
-
dba DCH Regional Medical Center
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1275793101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15645",
"address_2": "SMA MEDICAL STAFF OFFICE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891145645",
"telephone_number": "702-560-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S MANNING BLVD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122081707",
"telephone_number": "518-525-1550"
}
],
"practiceLocations": [
{
"address_1": "2720 N Tenaya Way",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891280424",
"country_code": "US",
"telephone_number": "702-560-2874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2215 Burdett Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802466",
"country_code": "US",
"telephone_number": "518-271-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Northern Blvd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122041004",
"country_code": "US",
"telephone_number": "518-471-3321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1081 N China Lake Blvd",
"address_purpose": "LOCATION",
"city": "Ridgecrest",
"state": "CA",
"postal_code": "935553130",
"country_code": "US",
"telephone_number": "760-446-3551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONSALVES",
"first_name": "PIERRE",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-13",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08969100",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2014025197",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "13624",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "257747",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "C173014",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "257747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
- Megan Golley, PH.D
- Golub Corporation (Price Chopper Pharmacy)
- Golub Corporation (Price Chopper Pharmacy)
- Golub Corporation (Price Chopper Pharmacy)
- Gomez Neurology (Gomez Neurology, PLLC)
- Brandon Michael Gonyo, PHARMD
- Corina Luz Gonzales, MD
- Elizabeth Mary Gonzalez
- Jose Antonio Gonzalez, M.D.
- Katherine Elizabeth Gonzalez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.