Individual provider Active NPI

Iris Patricia Gonzalez, MD

  • Family Medicine Physician
  • Topeka, KS
National Provider Identifier
1326196718
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-27034 Issued in KS
Practice address
112 SW 6TH Ave Ste 505
Topeka, KS 66603-3810
Phone
(785) 608-3299
Fax
(785) 940-5941
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 04-27034 KS Primary

Addresses

Primary practice location

112 SW 6TH Ave Ste 505
Topeka, KS 66603-3810

Mailing address

112 SW 6TH Ave Ste 505
Topeka, KS 66603-3810
Phone (785) 608-3299

Other identifiers 1

IdentifierTypeStateIssuer
04-27034OtherKSLICENSE NO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20031104000307 KS Practitioner - Family PracticePractitioner - General PracticePractitioner - Psychiatry 8123930500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-27034KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHG XXX, LLC CurrentSince Aug 23, 2022 Accepting new patients

Locations

1125 N 5th St
Kansas City, KS 66101
Phone (913) 342-0888

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1326196718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SW 6TH AVE STE 505",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666033810",
            "telephone_number": "785-608-3299",
            "fax_number": "785-783-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SW 6TH AVE STE 505",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666033810",
            "telephone_number": "785-608-3299",
            "fax_number": "785-940-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "IRIS",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-27034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "04-27034",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.