Robert Medell Gonzalez, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

K3206 Issued in TX

Practice address

111 Dallas St
San Antonio, TX 78205-1201

Phone

(210) 297-7000

NPI assigned

Apr 25, 2006

Last updated

Oct 8, 2008By 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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anderson Emergency Physicians PA

  • Emergency Medicine Physician
  • Palestine, TX
  • NPI 1366480337
  NPD (past)
• Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc

  dba Chest Diagnostic Therapeutic Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Mexia, TX
  • NPI 1770589392
  NPD (past)
• Complete Emergency Care City Base LLC

  dba Brooks City Base Complete Care

  • Emergency Care Clinic/Center
  • San Antonio, TX
  • NPI 1881063030
  NPD (past)
• Tri County Family Medical Care Group LLC

  • Family Medicine Physician
  • Mexia, TX
  • NPI 1174926554
  NPD (past)
• Valley Emergency Physicians

  • Emergency Medicine Physician
  • Harlingen, TX
  • NPI 1699769513
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1407812852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17460 IH 35 N",
            "address_2": "# 160-155",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DALLAS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051201",
            "telephone_number": "210-297-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ROBERT",
        "middle_name": "MEDELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "K3206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031150805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031150804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031150806",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031150801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031150803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Gonzalez
• Rene R Gonzalez
• Ricardo Gonzalez, RBT
• Richard Raul Gonzalez, RD
• Ricky G Gonzalez I, R.PH.
• Roberta Joann Gonzalez, CPNP
• Roberto Ortiz Gonzalez
• Robine Daniella Gonzalez
• Rogelio I Gonzalez, M.D.PA.
• Rolando Gonzalez, LSA

• Emergency Medical Services (Emergency Medicine) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.