Active NPI
Purita B. Gonzales, M.D.
- Anesthesiology Physician
- Washington, DC
National Provider Identifier
1770679383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD25753
- Practice address
- 1145 19TH Street, NW
Suite 850
Washington, DC 20036 - Phone
- (202) 223-9040
- Fax
- (202) 223-9047
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD25753 | DC | Primary |
Addresses
Primary practice location
1145 19TH Street, NW
Suite 850
Washington, DC 20036
Mailing address
1145 19TH Street, NW
Suite 850
Washington, DC 20036
Phone (202) 223-9040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5552-0006 | Other | DC | CAREFIRST BCBS |
| 201701700 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25753 | DC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Ambulatory Surgery, Inc, | Anesthesiology | Past | Accepting new patients |
| Medical Faculty Associates, Inc | Anesthesiology | Past | Accepting new patients |
| Washington Hospital Center Corp | Anesthesiology | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1528152006
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Anesthesiology Physician
- Washington, DC
- NPI 1265452635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1770679383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 19TH STREET, NW",
"address_2": "SUITE 850",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20036",
"telephone_number": "202-223-9040",
"fax_number": "202-223-9047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 19TH STREET, NW",
"address_2": "SUITE 850",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20036",
"telephone_number": "202-223-9040",
"fax_number": "202-223-9047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "PURITA",
"middle_name": "B.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "DC",
"license": "MD25753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "5552-0006",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201701700",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.