Individual provider Active NPI

Gael Lonergan, MD

  • Pediatric Radiology Physician
  • Austin, TX
National Provider Identifier
1700880549
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
J2661 Issued in TX
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 795-5100
Fax
(512) 795-5122
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X J2661 TX Primary

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other identifiers 6

IdentifierTypeStateIssuer
039691304MedicaidTX
039691308OtherTXCSHCN2
P00070657OtherRRMCARE
039691303MedicaidTX
039691306OtherTXCSHCN1
P00282580OtherRRMCARE2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, UT, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20041106000124 TX Practitioner - Diagnostic Radiology 5991768384 Reassigns benefits to 4 organizations
I20231220001732 AZ Practitioner - Diagnostic Radiology 5991768384 Reassigns benefits to 2 organizations
I20240110003050 UT Practitioner - Diagnostic Radiology 5991768384 Reassigns benefits to 2 organizations
I20250728001051 OR Practitioner - Diagnostic Radiology 5991768384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Banner Imaging Services LLCGroup PAC ID 1850724386, 122 clinicians

Practice addresses (Care Compare)

4207 Wayfarer Way
Gael Lonergan MD
Austin, TX 78731-6601
Phone (832) 915-2534

5605 W Eugie Ave
Suite 110
Glendale, AZ 85304-1273
Phone (480) 610-7400

60338 Hedgewood LN
Bend, OR 97702-9380
Phone (832) 915-2534

62671 NW Mt Thielsen Dr
Bend, OR 97703-8501
Phone (623) 299-8743

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2661TXMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Imaging Services LLC CurrentSince May 27, 2025 Accepting new patients
Banner Imaging Services LLC CurrentSince Dec 7, 2023 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince Dec 7, 2023 Accepting new patients
Banner Imaging Services LLC CurrentSince May 27, 2025 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Austin Radiological Association CurrentSince Jul 1, 2003 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Singleton Associates PA Pediatric Radiology CurrentSince Jul 1, 2019 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Pediatric Radiology Past Accepting new patients
University Imaging Center, LLC Pediatric Radiology Past Accepting new patients
DRS Korsower & Pion Radiology PA Diagnostic Radiology Past Accepting new patients
Texas Orthopedics Sports & Rehabilitation Associates PA Past Accepting new patients
Texas Orthopedics, Sports & Rehabilitation Associates, PA Past Accepting new patients
University Imaging Center, LLC Pediatric Radiology Past Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology Past Accepting new patients
Montgomery-Community Magnetic Imaging CNTR LTD Partnership Diagnostic Radiology Past Accepting new patients

Locations (25 of 47)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14420 W Meeker Blvd
Ste A101
Sun City West, AZ 85375
Phone (623) 524-4016

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1700880549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONERGAN",
        "first_name": "GAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TX",
            "license": "J2661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039691304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN2",
            "identifier": "039691308",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE",
            "identifier": "P00070657",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039691303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN1",
            "identifier": "039691306",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE2",
            "identifier": "P00282580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.