Individual provider Active NPI

Michael R Gonzales, MD

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1609810175
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M4101 Issued in TX
Practice address
1100 McCullough Ave
Suite 300
San Antonio, TX 78212-4813
Phone
(210) 271-3204
Fax
(210) 222-2761
NPI assigned
Jun 15, 2006
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X M4101 TX Primary

Addresses

Primary practice location

1100 McCullough Ave
Suite 300
San Antonio, TX 78212-4813

Mailing address

1100 McCullough Ave
Suite 300
San Antonio, TX 78212-4813
Phone (210) 271-3204

Other identifiers 5

IdentifierTypeStateIssuer
181381803MedicaidTX
8V3734OtherTXBCBS
P00325412OtherTXRAILROAD MEDICARE
8CU331OtherTXBCBS
P00948200OtherTXRAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MICHAEL.GONZALES@hca7.eclinicaldirectplus.com

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
I20060817000468 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981607629 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians

Practice addresses (Care Compare)

1100 McCullough Ave
San Antonio, TX 78212-4814
Phone (210) 271-3204

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 208-2200

4411 Medical Dr
San Antonio, TX 78229-3824

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.13 of 100Reported as individual
Promoting interoperability
99
Improvement activities
30

Merit-based Incentive Payment System (MIPS)

Final score
84.46 of 100Reported as group
Quality
71.92
Promoting interoperability
99
Improvement activities
40
Cost
71.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Aug 21, 2012 Accepting new patients
Legacy Heart Care of San Antonio Cardiovascular Disease CurrentSince May 1, 2015 Accepting new patients
Legacy Heart Care of San Antonio Cardiovascular Disease CurrentSince May 1, 2015 Accepting new patients
Cardiology Clinic of San Antonio, PLLC Cardiovascular Disease CurrentSince Apr 1, 2024 Accepting new patients
Timberland Medical Group Cardiovascular Disease CurrentSince Aug 21, 2012 Accepting new patients
VHS San Antonio Partners LLC Cardiovascular Disease CurrentSince Mar 7, 2007 Accepting new patients
VHS San Antonio Partners, LLC CurrentSince Mar 7, 2007 Accepting new patients
Central Cardiovascular Institute of San Antonio Past Accepting new patients
San Antonio Cardiology Clinic PA Cardiovascular Disease Past Accepting new patients
Imed Healthcare Associates, PLLC Past Accepting new patients
Methodist Medical Group, PLLC Cardiovascular Disease Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

1100 McCullough Ave
Ste 300
San Antonio, TX 78212

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

615 Soledad St
Ste 300
San Antonio, TX 78205

8401 Datapoint Dr
Ste 421
San Antonio, TX 78229
Phone (210) 558-1800

Interoperability endpoints

  • Direct secure messaging: 3211-gonzales-michael@direct.leadingreach.com

Organizations & group practices 11

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 3

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1609810175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MCCULLOUGH AVE",
            "address_2": "SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124813",
            "telephone_number": "210-271-3204",
            "fax_number": "210-222-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MCCULLOUGH AVE",
            "address_2": "SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124813",
            "telephone_number": "210-271-3204",
            "fax_number": "210-222-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M4101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181381803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V3734",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00325412",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CU331",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00948200",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICHAEL.GONZALES@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1100 McCullough Ave",
            "address_2": "SUITE 300",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782124813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.