Individual provider Active NPI

Luis L Gonzalez Jr., MD

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1639276520
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15447 Issued in AZ
Practice address
8300 E Dixileta Dr
#278
Scottsdale, AZ 85266-2273
Phone
(602) 770-2468
Fax
(480) 409-2512
NPI assigned
Sep 20, 2006
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15447 AZ Primary

Addresses

Primary practice location

8300 E Dixileta Dr
#278
Scottsdale, AZ 85266-2273

Mailing address

PO Box 28757
Scottsdale, AZ 85255-0162
Phone (602) 770-2468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050301000459 AZ Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Hospitalist 6305899469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care, Hospitalist
Education
University of Cincinnati College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7007 E Mountain View Rd
Scottsdale, AZ 85253-1934
Phone (480) 607-2898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15447AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Geriatrics & Internal Medicine P L L C Geriatric Medicine CurrentSince Jan 1, 2000 Accepting new patients

Locations

7007 E Mountain View Rd
Scottsdale, AZ 85253
Phone (480) 607-2898

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
VI at SilverstoneScottsdale, AZ, CCN 035281 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 5, 2011
Jan 5, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1639276520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28757",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852550162",
            "telephone_number": "602-770-2468",
            "fax_number": "480-409-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 E DIXILETA DR",
            "address_2": "#278",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852662273",
            "telephone_number": "602-770-2468",
            "fax_number": "480-409-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LUIS",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "15447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.