Yury R Gonzales, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35069107G Issued in OH

Practice address

2136 W 8TH St
Price Hill Health Center
Cincinnati, OH 45204-2052

Phone

(513) 357-2700

Fax

(513) 357-2750

NPI assigned

Jan 3, 2006

Last updated

Feb 25, 2013By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of CincinnatiGroup PAC ID 3476467804, shared by 26 NPIs, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• City of Cincinnati

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1811900061
  Medicare reassignment NPD
• City of Cincinnati

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1831102151
  Medicare reassignment NPD
• City of Cincinnati

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1093728248
  NPD
• City of Cincinnati

  dba Ambrose Clement Health Center Pharmacy

  • Clinic Pharmacy
  • Cincinnati, OH
  • NPI 1477112308
  NPD
• City of Cincinnati

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1902819154
  NPD
• City of Cincinnati

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1770598492
  NPD (past)

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

• University of Cincinnati Medical Center, LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1033154026
  Care Compare affiliation
• University of Cincinnati Medical Center, LLC

  dba Alliance Medical Transport Service

  • Ambulance
  • Cincinnati, OH
  • NPI 1689618423

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1699753400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293098",
            "telephone_number": "513-357-7289",
            "fax_number": "513-357-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 W 8TH ST",
            "address_2": "PRICE HILL HEALTH CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452042052",
            "telephone_number": "513-357-2700",
            "fax_number": "513-357-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "YURY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35069107G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382278",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawnette Vera Patrice Gonzague, M.D.
• Kate Gonzales Tollett
• Fred Pete Gonzales III, MD
• Michelle Deyanka Sheena Gonzales, LPN
• Susan V. Gonzales, M.D.
• Ana Gonzalez del Rey
• Maritza Gonzalez Shepherd
• Sarah Elizabeth Gonzalez-Bankich, MD, MPH
• Gabriela Gonzalez-Cantoran, MD
• Javier A Gonzalez-del-Rey, M.D.

• Internal Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.