Alfonso Ivan Gonzalez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M3815 Issued in TX

Practice address

501 Bernice Ave
Odessa, TX 79763-4226

Phone

(432) 333-1300

Fax

(432) 333-1306

NPI assigned

Apr 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, TX2 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 PracticeAlso: Emergency Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
• Medical Center Hospital Hospital, Odessa, TX, CCN 450132

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agonzalez309300@christushealth.direct-ci.net

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.

• Alfonso I Gonzalez MD PA

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1841459179

  Emergency Medicine

  Medicare reassignment NPD Authorized official
• Northeast Texas Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1114607611
  Medicare reassignment Care Compare group NPD
• Acute Care Specialists

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1740655273
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Emergency Staffing Solutions of West Texas LLC

  • Emergency Medicine Physician
  • Levelland, TX
  • NPI 1033593504
  Medicare reassignment NPD
• Ess of South Texas LLC

  • Emergency Medicine Physician
  • Liberty, TX
  • NPI 1295128247
  Medicare reassignment NPD
• Stephens Memorial Hospital District

  • Urgent Care Clinic/Center
  • Breckenridge, TX
  • NPI 1518361369
  Medicare reassignment NPD
• Union Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Texarkana, TX
  • NPI 1023798501
  Medicare reassignment NPD
• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974

  NM

  Medicare reassignment NPD
• Stephens Memorial Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Breckenridge, TX
  • NPI 1205257029
  NPD
• A & D Medical Center, LLC

  • Rural Health Clinic/Center
  • Monahans, TX
  • NPI 1295793214

  Family Medicine

  NPD (past)

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

• Christus Health Ark-la-Tex

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734
  Care Compare affiliation
• Ector County Hospital District

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  Care Compare affiliation

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1386606721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BERNICE AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634226",
            "telephone_number": "432-333-1300",
            "fax_number": "432-333-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BERNICE AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634226",
            "telephone_number": "432-333-1300",
            "fax_number": "432-333-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALFONSO",
        "middle_name": "IVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2005-0515",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M3815",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2005-0515",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Hernandez Gonzales
• Juan E Gonzales, LPC-A, NCC,LBSW, LPN
• Yomarie Ivelisse Gonzalez Irizarry, MD
• Yarines Gonzalez Mendoza, NP-C
• Laura Mariana Gonzalez Reyes, MD
• Diana D Gonzalez, PTA
• Refugio Gonzalez III, DDS
• Shawnee Seychelle Gonzalez
• Stephanie Gonzalez
• Carina Rose Goodart

• Family Medicine Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.