Gonzalo M Celis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14913 Issued in AZ

Practice address

395 N Silverbell Rd
Suite 355
Tucson, AZ 85745-2656

Phone

(520) 622-5912

Fax

(520) 791-2246

NPI assigned

Nov 29, 2005

Last updated

Jul 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gonzalo.celis.1@600.direct.athenahealth.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

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.

• Tucson Physician Group Holdings, LLC

  dba Carondelet Medical Group

  • Interventional Cardiology Physician
  • Tucson, AZ
  • NPI 1356726939

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Dependable Medical Equipment, Inc

  • Durable Medical Equipment & Medical Supplies
  • Nogales, AZ
  • NPI 1699770008
  NPD (past)
• Rxo2 Oxygen & Medical Equipment Supply Co., Inc.

  • Oxygen Equipment & Supplies (DME)
  • Tucson, AZ
  • NPI 1790771178
  NPD (past)

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

• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1366425886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N FORBES BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451412",
            "telephone_number": "520-622-5912",
            "fax_number": "520-791-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD",
            "address_2": "SUITE 355",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452656",
            "telephone_number": "520-622-5912",
            "fax_number": "520-791-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELIS",
        "first_name": "GONZALO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "14913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239873",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Celaya
• Holly Celaya, MD
• Katie L Celaya, PT, DPT
• Donna M Celenza-Sweet, LPC
• Clarissa Celestino
• Cellnetix Labs, LLC
• Cellnetix Pathology, PLLC
• Camilla Ann Cenedella, LCSW
• Amanda Ford Ceniceros, FNP
• Diana Elizabeth Centeno

• Internal Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.