Individual provider Active NPI

Felicitas S Gonzales, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1356635882
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q0446 Issued in TX
Practice address
16088 San Pedro Ave Ste 115
San Antonio, TX 78232-2251
Phone
(210) 220-6744
Fax
(210) 200-6799
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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 Q0446 TX Primary

Addresses

Primary practice location

16088 San Pedro Ave Ste 115
San Antonio, TX 78232-2251

Mailing address

8711 Village Dr Ste 114
San Antonio, TX 78217-5419
Phone (210) 220-6744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20141017001800 TX Practitioner - Family Practice 9436382140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

16088 N US Hwy 281
San Antonio, TX 78232-2251
Phone (210) 483-8883

16088 San Pedro Ave
San Antonio, TX 78232-2251
Phone (210) 200-6744

18818 Meisner Dr
San Antonio, TX 78258-3568
Phone (210) 481-6800

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

430 W Sunset Rd
San Antonio, TX 78209-1770

5929 Broadway
San Antonio, TX 78209-5235
Phone (210) 657-2100

PO Box
Suite 5730
Belfast, ME 04915-5700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc Family Medicine CurrentSince Aug 15, 2014 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 15, 2014 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

8711 Village Dr
Ste 114
San Antonio, TX 78217
Phone (210) 297-2244

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

16088 San Pedro Ave
Ste 115
San Antonio, TX 78232
Phone (210) 200-6744

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: felicitas.gonzales.1@1438.direct.athenahealth.com

Organizations & group practices 3

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1356635882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 VILLAGE DR STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175419",
            "telephone_number": "210-220-6744",
            "fax_number": "210-200-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16088 SAN PEDRO AVE STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322251",
            "telephone_number": "210-220-6744",
            "fax_number": "210-200-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "FELICITAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.