Michael Raymund C Gonzales, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

16309 Issued in NV

Practice address

10085 Double R Blvd Ste 310
Reno, NV 89521-4832

Phone

(775) 982-7260

Fax

(775) 982-7268

NPI assigned

Jul 9, 2008

Last updated

Jul 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

EndocrinologyAlso: Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
• Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
• Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320
• Carson Valley Health Hospital, Gardnerville, NV, CCN 291306
• Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

Merit-based Incentive Payment System (MIPS)

Final score

85.15 of 100Reported as group

Quality

79.09

Promoting interoperability

100

Improvement activities

40

Cost

71.43

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgonzales151045@direct.renown.org

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.

• Community Care Services LLC

  dba Community Care Services

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1720031768
  Medicare reassignment Care Compare group NPD
• Hometown Health Management Company

  dba Renown Health Medical Group

  • Family Medicine Physician
  • Sparks, NV
  • NPI 1861445892
  Medicare reassignment NPD
• Community Care Services LLC

  dba Renown Radiology

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1053272989
  NPD
• Community Care Services LLC

  dba Renown Surgery Care

  • Surgery Physician
  • Reno, NV
  • NPI 1811468374
  NPD
• Hometown Health Management Company

  dba Renown Health Urgent Care

  • Family Medicine Physician
  • Reno, NV
  • NPI 1841761277
  NPD
• Community Care Services LLC

  dba Renown Health Medical Group - Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Reno, NV
  • NPI 1699246124
  NPD (past)
• Community Care Services LLC

  dba Renown Health Medical Group

  • Family Medicine Physician
  • Fernley, NV
  • NPI 1952872582
  NPD (past)
• Community Care Services LLC

  dba Renown Oncology Wellness

  • Obstetrics & Gynecology Physician
  • Reno, NV
  • NPI 1982088274
  NPD (past)
• Imperial Health LLP

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1326396375
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carson Tahoe Regional Healthcare

  • General Acute Care Hospital
  • Carson City, NV
  • NPI 1255360160
  Care Compare affiliation
• Carson Tahoe Regional Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carson City, NV
  • NPI 1568281988

  Hospital

  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1932517299
  Care Compare affiliation
• Renown South Meadows Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1720058027
  Care Compare affiliation
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

  dba CVMC Outpatient Behavioral Health Clinic

  • Community/Behavioral Health Agency
  • Gardnerville, NV
  • NPI 1104482918

  Hospital

  Care Compare affiliation
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

  dba Carson Valley Health

  • Critical Access Hospital
  • Gardnerville, NV
  • NPI 1396799102
  Care Compare affiliation
• Banner Lassen Medical Center

  • Critical Access Hospital
  • Susanville, CA
  • NPI 1538197231
  Care Compare affiliation

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1669635785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARVARD WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022055",
            "telephone_number": "518-253-0772",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 DOUBLE R BLVD STE 310",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214832",
            "telephone_number": "775-982-7260",
            "fax_number": "775-982-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2285 E Flamingo Rd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195100",
            "country_code": "US",
            "telephone_number": "702-862-8226",
            "fax_number": "702-862-8227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1727 Imperial Blvd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "70605",
            "country_code": "US",
            "telephone_number": "337-310-3670",
            "fax_number": "337-421-1408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MICHAEL RAYMUND",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116019889",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": "21747",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "309848",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "16309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "13817541",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3447931",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8822998",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS",
            "identifier": "6056931",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV MD LIC NUMBER",
            "identifier": "16309",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09338860",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WINDSOR HEALTH PLAN",
            "identifier": "931868",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669635785",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9971837",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01109797",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Gonikman, MD
• Jennifer J Gonzaga, TS-C, CSFA
• David Gonzales
• Dianne Gonzales
• Jada Lynn Gonzales
• Ruthann Duenas Gonzales
• Tara Gonzales
• Carla Fernanda Gonzalez Becerra
• Adalice Gonzalez Melendez
• Nallely Gonzalez Rios

• Endocrinology, Diabetes & Metabolism Physician in Reno, NV
• Providers in Reno, NV by specialty
• Endocrinology, Diabetes & Metabolism Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.