Individual provider Active NPI

Miguel E Gonzalez, MD

  • Internal Medicine Physician
  • Leesburg, FL
National Provider Identifier
1750333480
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME55600 Issued in FL
Practice address
22326 US Highway 27 Ste D
Leesburg, FL 34748-7910
Phone
(407) 635-5600
Fax
(321) 842-4015
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME55600 FL Primary

Addresses

Primary practice location

22326 US Highway 27 Ste D
Leesburg, FL 34748-7910

Mailing address

22326 US Highway 27 Ste D
Leesburg, FL 34748-7910
Phone (407) 635-5600

Other practice location 1

801 E Dixie Ave Ste 101
Leesburg, FL 34748-7601
Phone (352) 326-4031

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address miguel.gonzalez@centerwell.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120703000079 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3375707417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

22326 US Hwy 27
Suite C
Leesburg, FL 34748-7920
Phone (407) 635-5600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC Internal Medicine CurrentSince Jul 8, 2022 Accepting new patients
Orlando Physicians Network Inc Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Supra Home Health, Inc. PastSince Apr 19, 2020 Accepting new patients
VMD Primary Providers Central Florida PLLC Internal Medicine PastSince May 8, 2022 Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

22326 US Highway 27
Ste D
Leesburg, FL 34748
Phone (407) 635-5600

22326 US Highway 27
Ste C
Leesburg, FL 34748
Phone (407) 635-3030

5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1750333480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22326 US HIGHWAY 27 STE D",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487910",
            "telephone_number": "407-635-5600",
            "fax_number": "321-842-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22326 US HIGHWAY 27 STE D",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487910",
            "telephone_number": "407-635-5600",
            "fax_number": "321-842-4015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Dixie Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347487601",
            "country_code": "US",
            "telephone_number": "352-326-4031",
            "fax_number": "352-360-0257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MIGUEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME55600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miguel.gonzalez@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "801 E Dixie Ave Ste 101",
            "city": "Leesburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347487601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.