Organization Active NPI

Gonzalez Medical Offices, LLP

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1720228463
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0056791 Issued in MD
Legal business name
GONZALEZ MEDICAL OFFICES, LLP
Practice address
2311 Arcola Ave
Silver Spring, MD 20902-2826
Phone
(301) 933-6644
Fax
(301) 933-6647
NPI assigned
Feb 20, 2009
Last updated
Feb 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Dr. Luis Antonio Gonzalez, M.D.NPI 1316047327
Title
Provider
Phone
(301) 933-6644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0056791 MD Primary

Addresses

Primary practice location

2311 Arcola Ave
Silver Spring, MD 20902-2826

Mailing address

2311 Arcola Ave
Silver Spring, MD 20902-2826
Phone (301) 933-6644

Other identifiers 1

IdentifierTypeStateIssuer
185839OtherMDPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008000345 DC Part B Supplier - Clinic/Group Practice 5092774679 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1025355Gonzalez Medical Offices LLP2311 Arcola Avenue, Silver Spring, MD 20902Provider-performed microscopyMay 4, 2028

National Provider Directory

National Provider Directory

Locations

1015 Spring St
Ste 206
Silver Spring, MD 20910
Phone (301) 588-9595

800 Pershing Dr
Ste 204
Silver Spring, MD 20910
Phone (301) 588-9595

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17678/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1720228463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 ARCOLA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022826",
            "telephone_number": "301-933-6644",
            "fax_number": "301-933-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 ARCOLA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022826",
            "telephone_number": "301-933-6644",
            "fax_number": "301-933-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ MEDICAL OFFICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "301-933-6644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0056791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "185839",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.