Individual provider Active NPI

Joel Radhames Nunez Gonzalez, M.D.

  • Neurology Physician
  • Baltimore, MD
National Provider Identifier
1497066997
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0081733 Issued in MD
Practice address
110 S Paca St FL 3
Baltimore, MD 21201-1642
Phone
(648) 341-0328
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 336856 LA
Neurology Physician 2084N0400X D0081733 MD Primary
Vascular Neurology Physician 2084V0102X 2023-02718 NC
Vascular Neurology Physician 2084V0102X 036165293 IL
Vascular Neurology Physician 2084V0102X MD2017-0142 NM
Neurology Physician 2084N0400X 036165293 IL
Neurology Physician 2084N0400X 0101278822 VA
Neurology Physician 2084N0400X 2023-02718 NC
Neurology Physician 2084N0400X ME163513 FL
Neurology Physician 2084N0400X 68943 TN

Addresses

Primary practice location

110 S Paca St FL 3
Baltimore, MD 21201-1642

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 2

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 323-6900

Other practice location 3

851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000

Other practice location 4

1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5000

Other practice location 5

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

Other practice location 6

1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300

Other practice location 7

2030 Temple Hill Rd
Erwin, TN 37650-8721
Phone (423) 743-3141

Other practice location 8

1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100

Other practice location 9

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other practice location 10

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 11

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (423) 230-8200

Other practice location 12

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

Other practice location 13

127 Health Care Dr Ste 3
Pennington Gap, VA 24277-2853
Phone (423) 230-5000

Other practice location 14

100 15th St NW
Norton, VA 24273-1616
Phone (423) 630-7001

Other practice location 15

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 16

58 Carroll Street
Lebanon, VA 24266-4510
Phone (276) 883-8000

Other practice location 17

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 18

15790 Paul Vega Dr
Hammond, LA 70403-1436
Phone (985) 230-1683

Other practice location 19

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-9437

Other practice location 20

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 21

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone (757) 534-5100

Other practice location 22

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone (757) 534-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, IL, GA, NC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200923003336 MD Practitioner - Neuropsychiatry 3577862622 Reassigns benefits to 2 organizations
I20231027003038 IL Practitioner - Neurology 3577862622
I20231212002391 GA Practitioner - Neurology 3577862622 Reassigns benefits to 1 organization
I20240126003461 NC Practitioner - Neurology 3577862622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Maryland Neurology Associates PAGroup PAC ID 7810974649, 54 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-4323

2200 Kernan Dr
Baltimore, MD 21207-6665
Phone (410) 448-6383

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002
  • Umd Rehabilitation & Orthopaedic Institute Hospital, Baltimore, MD, CCN 210058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME163513FLMDNeurology Physician
D0081733MDMDNeurology Physician
2023-02718NCMDVascular Neurology Physician
MD2017-0142NMMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed CurrentSince Dec 13, 2023 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Aug 1, 2023 Accepting new patients
University of Maryland Neurology Associates, P.a. CurrentSince Aug 25, 2024 Accepting new patients
University of Maryland Neurology Associates, P.a. CurrentSince Jul 1, 2020 Accepting new patients
Wakemed Family Medicine CurrentSince Dec 13, 2023 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Dec 1, 2023 Accepting new patients
University of Maryland Neurology Associates, P.a. CurrentSince Jul 1, 2020 Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients

Locations

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

110 S Paca St
Fl 3
Baltimore, MD 21201
Phone (410) 328-3100

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953

Interoperability endpoints

  • Direct secure messaging: jnunezgonzalez1306299@direct.novanthealth.org
  • Direct secure messaging: jnunezgonzalez82744@direct.umm.edu

Organizations & group practices 9

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 2

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.

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    "enumeration_type": "NPI-1",
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    "number": "1497066997",
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            "country_name": "United States",
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            "city": "Marion",
            "state": "VA",
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            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
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        {
            "address_1": "1990 Holton Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193350",
            "country_code": "US",
            "telephone_number": "423-230-8200",
            "country_name": "United States",
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        {
            "address_1": "300 Med Tech Pkwy",
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            "telephone_number": "423-302-1000",
            "country_name": "United States",
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        {
            "address_1": "127 Health Care Dr Ste 3",
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            "country_name": "United States",
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        {
            "address_1": "100 15th St NW",
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            "telephone_number": "423-630-7001",
            "country_name": "United States",
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        {
            "address_1": "312 Hospital Dr",
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            "country_name": "United States",
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        {
            "address_1": "58 Carroll Street",
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            "city": "Lebanon",
            "state": "VA",
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            "telephone_number": "276-883-8000",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
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            "country_name": "United States",
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            "fax_number": "985-230-6652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
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            "fax_number": "704-384-9440",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Warwick Blvd Ste 110",
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            "city": "Newport News",
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            "country_code": "US",
            "telephone_number": "757-534-5100",
            "country_name": "United States",
            "address_type": "DOM"
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            "country_code": "US",
            "telephone_number": "757-534-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ GONZALEZ",
        "first_name": "JOEL",
        "middle_name": "RADHAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "336856",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0081733",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NC",
            "license": "2023-02718",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "IL",
            "license": "036165293",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NM",
            "license": "MD2017-0142",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036165293",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101278822",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2023-02718",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME163513",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "68943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.