Individual provider Active NPI

Gonzalo Gonzales Jr. Jr., D.O.

  • Pain Medicine Physician
  • Plano, TX
National Provider Identifier
1568623890
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
N6319 Issued in TX
Practice address
3000 Communications Parkway
Suite 200
Plano, TX 75093
Phone
(469) 925-3133
Fax
(972) 942-0102
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X N6319 TX
Pain Medicine Physician 208VP0000X N6319 TX Primary

Addresses

Primary practice location

3000 Communications Parkway
Suite 200
Plano, TX 75093

Mailing address

P.O. Box 561359
The Colony, TX 75056
Phone (469) 925-3133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120828000798 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 0840447736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Nova Southeastern College of Osteo Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6020 W Parker Rd
Suite 300
Plano, TX 75093-8177
Phone (469) 925-3133

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Star Pain & Spine LLC Pain Medicine CurrentSince Sep 25, 2017 Accepting new patients

Locations

4221 Medical Pkwy
Ste 250
Carrollton, TX 75010
Phone (972) 492-0333

5550 Warren Pkwy
Ste 110
Frisco, TX 75034
Phone (214) 440-1245

6020 W Parker Rd
Ste 300
Plano, TX 75093
Phone (469) 200-6461

3000 Communications Pkwy
Ste 200
Plano, TX 75093
Phone (469) 925-3133

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1568623890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 561359",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "75056",
            "telephone_number": "469-925-3133",
            "fax_number": "972-942-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COMMUNICATIONS PARKWAY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "469-925-3133",
            "fax_number": "972-942-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES JR.",
        "first_name": "GONZALO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2025-01-29",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "N6319",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "N6319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.