NPIMap

Individual provider Active NPI

Jesus R Gonzalez Jr., PA

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1538424445
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07786 Issued in TX
Practice address
1901 S 1St St Ste 600
McAllen, TX 78503-1228
Phone
(956) 631-6136
Fax
(956) 631-6136
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07786 TX Primary

Addresses

Primary practice location

1901 S 1St St Ste 600
McAllen, TX 78503-1228

Mailing address

1901 S 1St St Ste 600
McAllen
McAllen, TX 78503-1228
Phone (956) 631-6136

Other identifiers 2

IdentifierTypeStateIssuer
335076101MedicaidTX
PA07786OtherTXTEXAS MEDICAL BOARD

Other names 1

  • Jesse R Gonzalez Jr. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140123001669 TX Practitioner - Physician Assistant 7517195324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Associates, PLLCGroup PAC ID 8628315215, 5 clinicians
South Texas Kidney Specialists, P.a.Group PAC ID 9234118837, 15 clinicians

Practice addresses (Care Compare)

110 E Savannah Ave
BLDG A102
McAllen, TX 78503-1230
Phone (956) 627-1538

1901 S 1St St
McAllen, TX 78503-1228
Phone (956) 631-6136

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.39 of 100Reported as group
Quality
80.02
Promoting interoperability
96
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07786TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates ,PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jesusgonzalez@stks.allscriptsdirect.net

Organizations & group practices 3

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 5

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": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1538424445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S 1ST ST STE 600",
            "address_2": "MCALLEN",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031228",
            "telephone_number": "956-631-6136",
            "fax_number": "956-631-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 1ST ST STE 600",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031228",
            "telephone_number": "956-631-6136",
            "fax_number": "956-631-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JESUS",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335076101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "PA07786",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "GONZALEZ",
            "middle_name": "R",
            "suffix": "JR.",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.