Active NPI
Peter W Gonzalez, M.D.
- Psychiatry Physician
- West Lake Hills, TX
National Provider Identifier
1366577363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H-7059
- Practice address
- 1101 S Capital of Texas Hwy
West Lake Hills, TX 78746-6445 - Phone
- (737) 499-1451
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H-7059 | TX | Primary |
Addresses
Primary practice location
1101 S Capital of Texas Hwy
West Lake Hills, TX 78746-6445
Mailing address
40 N Ih 35 Apt 7C4
Austin, TX 78701-4359
Phone (737) 400-1451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132008705 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H-7059 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1366577363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 N IH 35 APT 7C4",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787014359",
"telephone_number": "737-400-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S CAPITAL OF TEXAS HWY",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466445",
"telephone_number": "737-499-1451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "PETER",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H-7059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132008705",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.