Individual provider Active NPI

Richard D Gonzales, MD

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1386795474
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.42239 Issued in AL
Practice address
4012 University Dr NW
Huntsville, AL 35816-3002
Phone
(256) 882-0000
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 MD.42239 AL Primary

Addresses

Primary practice location

4012 University Dr NW
Huntsville, AL 35816-3002

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243

Other practice location 1

1948 Al Highway 157 Ste 450
Cullman, AL 35058-0643
Phone (256) 735-5075

Other practice location 2

1635 Highway 31 NW Ste A
Hartselle, AL 35640-4482
Phone (256) 735-5900

Other identifiers 2

IdentifierTypeStateIssuer
263136MedicaidAL
274194MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210302000815 AL Practitioner - Family Practice 7911078357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Family Medical Associates of Alabama, LLCGroup PAC ID 2163879776, 18 clinicians

Practice addresses (Care Compare)

4012 University Dr NW
Huntsville, AL 35816-3002
Phone (256) 882-0000

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
  • Amedisys Home Health of Huntsville Home health agency, Huntsville, AL, CCN 017039
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

Merit-based Incentive Payment System (MIPS)

Final score
76.37 of 100Reported as group
Quality
45.96
Promoting interoperability
100
Improvement activities
40
Cost
75.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76122CAMDClinical Social Worker
MD.42239ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Family Medical Associates of Alabama, LLC CurrentSince Mar 4, 2024 Accepting new patients
National Family Medical Associates, LLC Family Medicine CurrentSince Mar 4, 2024 Accepting new patients
Richard D. Gonzales, M.D., P.C. Family Medicine Past Accepting new patients
Piedmont Medical Care Corporation Family Medicine PastSince Dec 29, 1995 Accepting new patients

Locations

1304 13th Ave SE
Decatur, AL 35601
Phone (256) 355-9711

4012 University Dr NW
Huntsville, AL 35816
Phone (256) 882-0000

3942 Government Blvd
Mobile, AL 36693
Phone (251) 460-1103

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Interoperability endpoints

  • Direct secure messaging: richard.gonzales@vt.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1386795474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 UNIVERSITY DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358163002",
            "telephone_number": "256-882-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1948 Al Highway 157 Ste 450",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350580643",
            "country_code": "US",
            "telephone_number": "256-735-5075",
            "fax_number": "256-735-5076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 Highway 31 NW Ste A",
            "address_purpose": "LOCATION",
            "city": "Hartselle",
            "state": "AL",
            "postal_code": "356404482",
            "country_code": "US",
            "telephone_number": "256-735-5900",
            "fax_number": "256-417-4719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "RICHARD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.42239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263136",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274194",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.