Elisa Glubok Gonzalez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD19377 Issued in RI

Practice address

115 Cass Ave
Woonsocket, RI 02895-4731

Phone

(401) 769-4100

NPI assigned

Apr 5, 2020

Last updated

Jan 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, KS2 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 2

Specialty

Family Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCBEAA

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.

• Prime Healthcare Services Landmark LLC

  dba Landmark Physician Office Services

  • Orthopaedic Surgery Physician
  • Woonsocket, RI
  • NPI 1457772543

  Family Medicine

  Medicare reassignment NPD
• Thundermist Health Center

  • Federally Qualified Health Center (FQHC)
  • Wakefield, RI
  • NPI 1700041001
  Medicare reassignment NPD
• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Garden City

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196
  Medicare reassignment NPD
• Prime Healthcare Services Landmark LLC

  dba Landmark Medical Center

  • General Acute Care Hospital
  • Woonsocket, RI
  • NPI 1699752923
  NPD
• Thundermist Health Center

  • Federally Qualified Health Center (FQHC)
  • Narragansett, RI
  • NPI 1265190292
  NPD
• Thundermist Health Center

  • Federally Qualified Health Center (FQHC)
  • Woonsocket, RI
  • NPI 1801152947
  NPD
• Commonspirit Kansas, Inc.

  • Obstetrics & Gynecology Physician
  • Garden City, KS
  • NPI 1376093468
  NPD
• St Catherine Hospital

  • Family Medicine Physician
  • Ulysses, KS
  • NPI 1528771029
  NPD
• Prime Healthcare Services Landmark LLC

  • Orthopaedic Surgery Physician
  • Woonsocket, RI
  • NPI 1942630264
  NPD (past)
• The Providence Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Providence, RI
  • NPI 1104847946
  NPD (past)
• Santa Rosa Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, CA
  • NPI 1629960174
  NPD (past)

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

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1346879095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLINTON ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953207",
            "telephone_number": "401-767-4100",
            "fax_number": "401-235-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954731",
            "telephone_number": "401-769-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465572",
            "country_code": "US",
            "telephone_number": "620-275-9752",
            "fax_number": "620-275-4306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 Lombardi Ct",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954076798",
            "country_code": "US",
            "telephone_number": "707-547-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Prairie Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029051928",
            "country_code": "US",
            "telephone_number": "401-444-0570",
            "fax_number": "401-444-0427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLUBOK GONZALEZ",
        "first_name": "ELISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-05",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD19377",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A184272",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-51422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Justin Giffin, CPHT
• Holman Giraldo, LCDP
• Daren D Girard, MD
• Glenn L. Dominguez, D.M.D., LLC
• Barbara Gloria, COUNSELOR
• Kristen Goad, APRN
• John W Golberg, M.D.
• Danielle Goldman, FNP
• Renee Gomes, BA, CPRS
• Edna Illeana Gomez Duenas, FNP-C

• Family Medicine Physician in Woonsocket, RI
• Providers in Woonsocket, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; 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.

Verify at the official NPI Registry.