Organization Active NPI

Jose E Gonzalez MD PA

  • Pediatrics Physician
  • Eldersburg, MD
National Provider Identifier
1780129023
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
JOSE E GONZALEZ MD PA
Practice address
1643 Liberty Rd Ste 106
Eldersburg, MD 21784-6545
Phone
(410) 795-4020
Fax
(410) 795-2733
NPI assigned
Dec 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Linda L Devilbiss
Title
Billing Manager
Phone
(410) 857-4844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1643 Liberty Rd Ste 106
Eldersburg, MD 21784-6545

Mailing address

1643 Liberty Rd
Suite 106
Eldersburg, MD 21784-6545
Phone (410) 795-4020

Other identifiers 2

IdentifierTypeStateIssuer
390341900MedicaidMD
C57724OtherMDUPIN

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
21D2017698Jose E Gonzalez MD PA1643 Liberty Road Unit 106, Eldersburg, MD 21784Certificate of waiverDec 12, 2026

National Provider Directory

National Provider Directory

Locations

1643 Liberty Rd
Ste 106
Eldersburg, MD 21784
Phone (410) 795-4020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1780129023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 LIBERTY RD",
            "address_2": "SUITE 106",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846545",
            "telephone_number": "410-795-4020",
            "fax_number": "410-795-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LIBERTY RD STE 106",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846545",
            "telephone_number": "410-795-4020",
            "fax_number": "410-795-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE E GONZALEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "DEVILBISS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-857-4844"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390341900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C57724",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.