Individual provider Active NPI

Fred Pete Gonzales III, MD

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1548721616
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.151147 Issued in OH
Practice address
2123 Auburn Ave Ste 724
Cincinnati, OH 45219-2906
Phone
(513) 241-4774
NPI assigned
Mar 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 57.249175 OH
Obstetrics & Gynecology Physician 207V00000X 35.151147 OH Primary

Addresses

Primary practice location

2123 Auburn Ave Ste 724
Cincinnati, OH 45219-2906

Mailing address

2139 Auburn Ave # 4-7
Cincinnati, OH 45219-2906
Phone (513) 558-7651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240917002148 OH Practitioner - Obstetrics/Gynecology 8325373293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Colorado School of Medicine, Denver, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Hospital Medical Specialists LLCGroup PAC ID 6507998432, 127 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 724
Cincinnati, OH 45219-2906
Phone (513) 241-4774

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.21 of 100Reported as group
Quality
88
Promoting interoperability
100
Improvement activities
40
Cost
79.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.151147OHMDObstetrics & Gynecology Physician
57.249175OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Medical Specialists LLC Obstetrics & Gynecology CurrentSince Sep 1, 2024 Accepting new patients
Mt Auburn Obstetrics & Gynecologic Assoc Inc Obstetrics & Gynecology PastSince Jul 28, 2024 Accepting new patients
Christ Hospital Past Accepting new patients

Locations

1955 Dixie Hwy
Ste C
Ft Wright, KY 41011
Phone (859) 292-9215

2139 Auburn Ave
#47
Cincinnati, OH 45219

2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400

2123 Auburn Ave
Ste 724
Cincinnati, OH 45219
Phone (513) 241-4774

9122 Montgomery Rd
Ste 100
Cincinnati, OH 45242
Phone (513) 791-4088

7450 S Mason Montgomery Rd
Unit 201
Mason, OH 45040
Phone (513) 229-7791

608 Reading Rd
Ste A
Mason, OH 45040
Phone (513) 398-6230

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 1

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1548721616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVE # 4-7",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-558-7651",
            "fax_number": "513-558-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 724",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "FRED",
        "middle_name": "PETE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57.249175",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.151147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.