NPIMap

Individual provider Active NPI

Ricardo Juan Gonzalez, MD

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1326011297
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10279 Issued in NV
Practice address
2005 Sierra Highlands Dr
Ste 101
Reno, NV 89523-2301
Phone
(775) 624-6000
Fax
(775) 624-6010
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10279 NV Primary

Addresses

Primary practice location

2005 Sierra Highlands Dr
Ste 101
Reno, NV 89523-2301

Mailing address

2005 Sierra Highlands Dr
Ste 101
Reno, NV 89523-2301
Phone (775) 624-6000

Other identifiers 2

IdentifierTypeStateIssuer
P00963848OtherNVMEDICARE RR
BE9184OtherNVMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828000906 NV Practitioner - Family Practice 1254423791 Reassigns benefits to 1 organization
Practice locations: Reno, NV

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2005 Sierra Highlands Dr
Suite 101
Reno, NV 89523-2301
Phone (775) 624-6492

Hospital & facility affiliations

  • Eden Home Health Home health agency, Reno, NV, CCN 297035
  • Mission Home Health of Carson City Home health agency, Carson City, NV, CCN 297249
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10279NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Brain Centers LLC Current Accepting new patients
John R. Lemieux MD LTD Family Medicine Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Community Care Services LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ricardo.gonzalez.1@23171.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1326011297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SIERRA HIGHLANDS DR",
            "address_2": "STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895232301",
            "telephone_number": "775-624-6000",
            "fax_number": "775-624-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SIERRA HIGHLANDS DR",
            "address_2": "STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895232301",
            "telephone_number": "775-624-6000",
            "fax_number": "775-624-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RICARDO",
        "middle_name": "JUAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00963848",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BE9184",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.