J Gavin Gonzalez, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

26245 Issued in AZ

Practice address

4140 E Baseline Rd
Ste 211
Mesa, AZ 85206

Phone

(480) 273-8680

Fax

(480) 306-7683

NPI assigned

Mar 14, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Otolaryngology

Education

University of New Mexico School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley ENT PCGroup PAC ID 8729149711, 70 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.58 of 100Reported as group

Quality

71.49

Promoting interoperability

100

Improvement activities

40

Cost

73.79

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: gavin.gonzalez@1028.chartlogic.direct-ci.com

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.

• Valley ENT, PC

  • Otolaryngology Physician
  • Scottsdale, AZ
  • NPI 1508990185
  Medicare reassignment Care Compare group
• Arizona Otolaryngology Consultants, PC

  • Specialist
  • Phoenix, AZ
  • NPI 1679538441
  NPD (past)
• Northern Arizona Ear Nose and Throat PC

  • Otolaryngology Physician
  • Flagstaff, AZ
  • NPI 1558449900
  NPD (past)
• Valley ENT, PC

  • Otolaryngology Physician
  • Tucson, AZ
  • NPI 1770852600
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1427027408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 E BASELINE RD",
            "address_2": "STE 211",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-273-8680",
            "fax_number": "480-306-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 E BASELINE RD",
            "address_2": "STE 211",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-273-8680",
            "fax_number": "480-306-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "J",
        "middle_name": "GAVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "26245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL BOARD",
            "identifier": "26245",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Gonzalez, MS,CF-SLP
• Eric Gabriel Gonzalez, MD
• Gissel Gonzalez, BS, RDN
• Heather Marie Gonzalez
• Holli Gonzalez
• Karen Noemi Gonzalez
• Kristy Gonzalez
• Lauren Margaret Gonzalez, LCSW
• Meghan Elizabeth Gonzalez, M.S., CCC-SLP
• Victoria Cecilia Gonzalez, PA-C

• Otolaryngology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Otolaryngology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.