NPIMap

Individual provider Active NPI

Aurora Gonzalez, MD

  • Diagnostic Radiology Physician
  • Lake St Louis, MO
National Provider Identifier
1376582502
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2009008660 Issued in MO
Practice address
100 Medical Plaza
Lake St Louis, MO 63367
Phone
(636) 625-5303
Fax
(636) 625-5403
NPI assigned
Jun 5, 2006
Last updated
Dec 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35078738 OH
Diagnostic Radiology Physician 2085R0202X 2009008660 MO Primary

Addresses

Primary practice location

100 Medical Plaza
Lake St Louis, MO 63367

Mailing address

220 Compass Point Dr.
St Charles, MO 63301
Phone (636) 947-4480

Other identifiers 2

IdentifierTypeStateIssuer
2744043MedicaidOH
200859790AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100210000135 MO Practitioner - Diagnostic Radiology 9931094968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologic Imaging Consultants LLPGroup PAC ID 4587652748, 16 clinicians

Practice addresses (Care Compare)

300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009008660MOMDDiagnostic Radiology Physician
35078738OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group Inc. CurrentSince Oct 6, 2025 Accepting new patients
Radiologic Imaging Consultants, LLP Diagnostic Radiology CurrentSince Sep 1, 2012 Accepting new patients
SSM Medical Group, Inc. CurrentSince Oct 6, 2025 Accepting new patients
Swedish Medical Center-Radia Issaquah Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Metro Imaging, LLC Diagnostic Radiology Past Accepting new patients
Radia Inc P S Diagnostic Radiology Past Accepting new patients
Ramic Federal Way, LLC Past Accepting new patients
Midwest Radiological Associates PC Diagnostic Radiology Past Accepting new patients
Everett Radia LLC Diagnostic Radiology Past Accepting new patients
Open MRI of Federal Way, L.L.C. Past Accepting new patients
Evergreen Radia LLC Diagnostic Radiology Past Accepting new patients

Locations

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

220 Compass Point Dr
Saint Charles, MO 63301
Phone (636) 947-4480

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

164 Professional Pkwy
#164
Troy, MO 63379
Phone (636) 528-0392

Interoperability endpoints

  • Direct secure messaging: agonzalez67038@direct-ehr-ssmhc.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1376582502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 COMPASS POINT DR.",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "63301",
            "telephone_number": "636-947-4480",
            "fax_number": "636-947-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PLAZA",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "63367",
            "telephone_number": "636-625-5303",
            "fax_number": "636-625-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "AURORA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35078738",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2009008660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2744043",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200859790A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

Verify at the official NPI Registry.