NPIMap

Individual provider Active NPI

Justo Gonzalez-Trapaga, M.D.

  • Nephrology Physician
  • Hannibal, MO
National Provider Identifier
1477553865
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2022014600 Issued in MO
Practice address
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone
(573) 629-3503
Fax
(573) 629-3534
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036160186 IL
Nephrology Physician 207RN0300X 077267 GA
Nephrology Physician 207RN0300X 2022014600 MO Primary
Nephrology Physician 207RN0300X MD-49740 IA

Addresses

Primary practice location

6500 Hospital Dr
Hannibal, MO 63401-6890

Mailing address

PO Box 1239
Hannibal, MO 63401-1239
Phone (573) 629-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, VI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220519001043 MO Practitioner - Nephrology 6608899232 Reassigns benefits to 1 organization
I20220530000203 IL Practitioner - Nephrology 6608899232
I20250723000145 VI Practitioner - Nephrology 6608899232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Puerto Rico School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 248-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
077267GAMDNephrology Physician
036160186ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jul 16, 2025 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jul 16, 2025 Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Aug 20, 2025 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Aug 20, 2025 Accepting new patients
Blessing Hospital Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Dialysis Access Center LLC PastSince Jun 1, 2008 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1005 Broadway St
Quincy, IL 62301

8 Town Center Dr
Bowling Green, MO 63334
Phone (573) 324-2241

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

1611 S Baltimore St
Kirksville, MO 63501
Phone (660) 372-9595

1600 N Morley St
Moberly, MO 65270
Phone (660) 263-1225

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: justogonzalez-trapaga@blessing.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: justogonzalez-trapaga@bcs.allscriptsdirect.net

Organizations & group practices 8

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 6

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1477553865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634011239",
            "telephone_number": "573-629-3500",
            "fax_number": "573-629-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 HOSPITAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016890",
            "telephone_number": "573-629-3503",
            "fax_number": "573-629-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-TRAPAGA",
        "first_name": "JUSTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036160186",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "077267",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2022014600",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "MD-49740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

Verify at the official NPI Registry.