Individual provider Active NPI

Pierre J. Gonsalves, MD

  • Internal Medicine Physician
  • Albany, NY
National Provider Identifier
1275793101
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
257747 Issued in NY
Practice address
315 S Manning Blvd
Albany, NY 12208-1707
Phone
(518) 525-1550
NPI assigned
Jun 13, 2008
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20130926000637 WA Practitioner - Internal Medicine 0345437976 Reassigns benefits to 1 organization
I20150106000609 MO Practitioner - HospitalistPractitioner - Internal Medicine 0345437976 Reassigns benefits to 1 organization
I20170920001707 NY Practitioner - Internal Medicine 0345437976 Reassigns benefits to 3 organizations
I20200123000717 AR Practitioner - Internal Medicine 0345437976 Reassigns benefits to 2 organizations
I20221018002602 TN Practitioner - Internal Medicine 0345437976 Reassigns benefits to 1 organization
I20260422003553 AL Practitioner - Internal Medicine 0345437976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Healthcare Hospitalists IncGroup PAC ID 1951735521, 98 clinicians

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

LicenseStateTypeSpecialty
25MA08969100NJMDInternal Medicine Physician
13624NVMDInternal Medicine Physician
257747NYMDInternal Medicine Physician
C173014CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
The Curators of the University of Missouri CurrentSince Dec 18, 2024 Accepting new patients
Curators of the University of Missouri CurrentSince Dec 18, 2024 Accepting new patients
St. Peter's Hospital of the City of Albany Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
St. Peter's Hospital of the City of Albany Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Baptist Health CurrentSince Jan 13, 2020 Accepting new patients
West Tennessee Healthcare Hospitalists Inc Hospitalist CurrentSince Oct 4, 2022 Accepting new patients
Providence Health & Services - Washington CurrentSince Feb 2, 2026 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Jun 24, 2017 Accepting new patients
Providence Health & Services - Washington Internal Medicine CurrentSince Feb 2, 2026 Accepting new patients
Baptist Health CurrentSince Jan 13, 2020 Accepting new patients
Arkansas Health Group Internal Medicine CurrentSince Jan 6, 2020 Accepting new patients
Arkansas Health Group CurrentSince Jan 6, 2020 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

  • Direct secure messaging: pgonsalves32561@directepic.wth.org
  • Direct secure messaging: pgonsalves380638@direct.baptist-healthar.org
  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.