Individual provider Active NPI

Jimmy Gamez Gonzales, MD

  • Sports Medicine (Family Medicine) Physician
  • Edinburg, TX
National Provider Identifier
1740506385
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
P3159 Issued in TX
Practice address
1601 E Sprague St
Edinburg, TX 78542-5260
Phone
(956) 362-8383
Fax
(956) 362-8382
NPI assigned
Apr 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Family Medicine) Physician 207QS0010X P3159 TX Primary

Addresses

Primary practice location

1601 E Sprague St
Edinburg, TX 78542-5260

Mailing address

PO Box 4624
McAllen, TX 78502-4624
Phone (956) 362-8383

Other identifiers 2

IdentifierTypeStateIssuer
313174003MedicaidTX
313174004OtherTXMEDICAID CSHCN PROGRAM

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20130314000103 TX Practitioner - Family PracticePractitioner - Sports Medicine 8426293739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance ProvidersGroup PAC ID 3476877879, 26 clinicians

Practice addresses (Care Compare)

1601 E Sprague St
Edinburg, TX 78542-5260
Phone (956) 362-8383

Merit-based Incentive Payment System (MIPS)

Final score
77.39 of 100Reported as group
Quality
68.87
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
72.49
Promoting interoperability
94
Improvement activities
40
Cost
68.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3159TXMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Providers Sports Medicine CurrentSince Sep 1, 2024 Accepting new patients
Doctors Hospital at Renaissance, LTD Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

4770 N Expressway
Ste 301
Brownsville, TX 78526
Phone (956) 362-3715

5540 Raphael Dr
Edinburg, TX 78539
Phone (956) 362-6683

1601 E Sprague St
Edinburg, TX 78542
Phone (956) 362-8383

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

1000 E Dove Ave
Ste 200
McAllen, TX 78504
Phone (956) 362-3520

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1740506385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4624",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024624",
            "telephone_number": "956-362-8383",
            "fax_number": "956-362-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E SPRAGUE ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785425260",
            "telephone_number": "956-362-8383",
            "fax_number": "956-362-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JIMMY",
        "middle_name": "GAMEZ",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "P3159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313174003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CSHCN PROGRAM",
            "identifier": "313174004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.