Individual provider Active NPI

Julio Gonzalez-Paoli, MD

  • Rheumatology Physician
  • Tampa, FL
National Provider Identifier
1336331271
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME107120 Issued in FL
Practice address
4012 N Florida Ave
Tampa, FL 33603-3816
Phone
(813) 782-1234
Fax
(813) 355-5066
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME107120 FL Primary

Addresses

Primary practice location

4012 N Florida Ave
Tampa, FL 33603-3816

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7505

Other identifiers 1

IdentifierTypeStateIssuer
005635400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rheumatology@flmed.directbygreenway.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120625000377 FL Practitioner - Rheumatology 2163687153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians

Practice addresses (Care Compare)

2100 Via Bella Blvd
Land O Lakes, FL 34639-5429

2727 W Dr Martin Luther King Jr Blvd
Suite 500
Tampa, FL 33607-6000
Phone (813) 769-4875

2727 W Dr Martin Luther King Jr Blvd
Suite 850
Tampa, FL 33607-6397
Phone (813) 782-1234

38051 Market Square Dr
Zephyrhills, FL 33542-7504

38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0195

38103 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 778-0414

38105 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 815-5380

38107 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 979-0440

38135 Market Square Dr
Zephyrhills, FL 33542-7505

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Clinic, LLC CurrentSince Jul 1, 2020 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Apr 1, 2024 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Apr 1, 2024 Accepting new patients
Florida Medical Clinic LLC CurrentSince Jul 1, 2020 Accepting new patients
Ohi West Medical Group II LLC Past Accepting new patients

Locations

2100 Via Bella Blvd
Ste 201
Land O Lakes, FL 34639
Phone (813) 528-4900

4012 N Florida Ave
Tampa, FL 33603
Phone (813) 782-1234

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

38051 Market Square Dr
Ste 220
Zephyrhills, FL 33542
Phone (813) 782-1234

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 4

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1336331271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033816",
            "telephone_number": "813-782-1234",
            "fax_number": "813-355-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-PAOLI",
        "first_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME107120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005635400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rheumatology@flmed.directbygreenway.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4012 N Florida Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336033816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.