Individual provider Active NPI

Melinda Gonzalez, P.A.-C.

  • Surgical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1760651186
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA05740 Issued in TX
Practice address
540 Madison Oak Dr Ste 570
San Antonio, TX 78258-3933
Phone
(210) 402-3700
Fax
(210) 402-3892
NPI assigned
Feb 29, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA05740 TX Primary

Addresses

Primary practice location

540 Madison Oak Dr Ste 570
San Antonio, TX 78258-3933

Mailing address

8711 Village Dr Ste 114
San Antonio, TX 78217-5419
Phone (210) 297-2244

Other practice location 1

9910 Huebner Rd
ste 250
San Antonio, TX 78240-1342
Phone (210) 615-8500

Other practice location 2

9910 Huebner Rd
ste 250
San Antonio, TX 78240-1342
Phone (210) 615-8500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000427 TX Practitioner - Physician Assistant 4183795016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3327 Research PLZ
Suite 302
San Antonio, TX 78235-5158
Phone (210) 614-1234

5223 Hamilton Wolfe Rd
San Antonio, TX 78229-4463
Phone (210) 614-1234

5425 W Spring Creek Pkwy
Suite 205
Plano, TX 75024-4236
Phone (972) 526-5860

P O Box
Suite 35629
Dallas, TX 75235-0629

PO Box
Suite 35629
Dallas, TX 75235-0629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA05740TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants PLLC CurrentSince Dec 4, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 4, 2017 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Dec 4, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 4, 2017 Accepting new patients
Texas Digestive Disease Consultants, PLLC Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

5223 Hamilton Wolfe Rd
San Antonio, TX 78229
Phone 2106141234713

540 Madison Oak Dr
Ste 570
San Antonio, TX 78258
Phone (210) 402-3700

8711 Village Dr
Ste 114
San Antonio, TX 78217
Phone (210) 297-2244

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760651186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 VILLAGE DR STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175419",
            "telephone_number": "210-297-2244",
            "fax_number": "210-297-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR STE 570",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583933",
            "telephone_number": "210-402-3700",
            "fax_number": "210-402-3892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9910 Huebner Rd",
            "address_2": "ste 250",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401342",
            "country_code": "US",
            "telephone_number": "210-615-8500",
            "fax_number": "210-615-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9910 Huebner Rd",
            "address_2": "ste 250",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401342",
            "country_code": "US",
            "telephone_number": "210-615-8500",
            "fax_number": "210-615-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MELINDA",
        "name_prefix": "Ms.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA05740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.