Javier M Gonzalez, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME83005 Issued in FL

Practice address

910 Old Camp Rd
BLDG 210
The Villages, FL 32162-5604

Phone

(352) 751-3356

Fax

(352) 751-3359

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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.

• Citrus Cardiology Consultants, PLLC

  • Cardiovascular Disease Physician
  • Inverness, FL
  • NPI 1669405379

  Cardiovascular Disease, FL

  Medicare reassignment Care Compare group NPD
• Citrus Cardiology Consultants, PLLC

  • Cardiac Rehabilitation Clinic/Center
  • Lecanto, FL
  • NPI 1851241913
  Care Compare group NPD
• Lakewood CCL, LLC

  • Multi-Specialty Clinic/Center
  • Wildwood, FL
  • NPI 1922575802
  NPD

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

• Concierge Home Care of Lake City LLC

  • Home Health Agency
  • Lake City, FL
  • NPI 1639777345
  Care Compare affiliation
• Leesburg Regional Medical Center Inc

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1245001189

  Hospital

  Care Compare affiliation
• Leesburg Regional Medical Center Inc

  • General Acute Care Hospital
  • Leesburg, FL
  • NPI 1245226190

  Hospital

  Care Compare affiliation
• LRMC Urgent Care Center

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1598841389

  Hospital

  Care Compare affiliation
• Villages Tri-County Medical Center Inc.

  • General Acute Care Hospital
  • The Villages, FL
  • NPI 1740276518

  Hospital

  Care Compare affiliation

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citrus Cardiology Consultants, PLLC 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Lake City, FL, CCN 687144
• Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
• Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

96

Improvement activities

40

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (3 of 5)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHGIAD
• Direct secure messaging: jgonzalez563682@direct.shands.ufl.edu

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2013.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1689658809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524716",
            "telephone_number": "352-726-8353",
            "fax_number": "352-726-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD",
            "address_2": "BLDG 210",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625604",
            "telephone_number": "352-751-3356",
            "fax_number": "352-751-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JAVIER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME83005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0405694",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "ME83005",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "03015",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP",
            "identifier": "CF1416",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "77940",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11319381",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263252700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "77940",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "269859500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "060065353",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly W Giovannelli, M.D.
• Karin Girgis, OD
• Michael Allen Glick, M.D.
• William E. Goellner, M.D.
• Amy M Goetz, PA-C
• Leslie Gonzalez, DC
• Lisa M Gonzalez
• Monica Maria Gonzalez, APN-BC
• Pamela Lizzie Gonzalez, MD
• Reynaldo F Gonzalez, DMD

• All providers in The Villages, FL
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.