Omar Gonzalez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K4440 Issued in TX

Practice address

1700 N Oregon St
Suite 515
El Paso, TX 79902-3584

Phone

(915) 253-1757

Fax

(915) 544-5696

NPI assigned

Jul 8, 2005

Last updated

Jul 12, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians

El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16146/brand/4/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DEFHDD
• FHIR API: https://fhir4.healow.com/fhir/r4/DEFHDD/Endpoint/DEFHDD

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.

• Hyperbaric Excellence Center Inc

  • Medical Specialty Clinic/Center
  • El Paso, TX
  • NPI 1184075079
  Medicare reassignment NPD Authorized official
• Omar Gonzalez, M.D., P.a.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1437196276
  Medicare reassignment NPD Authorized official
• Internal Medicine Group PA

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1255623906
  NPD (past) Authorized official
• El Paso Physical Therapy Specialists LLC

  dba El Paso Physical Therapy Services

  • Physical Therapist
  • El Paso, TX
  • NPI 1821619115
  Care Compare group
• Q Med Laboratory, LLC

  • Clinical Medical Laboratory
  • El Paso, TX
  • NPI 1386817435
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1780682260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N OREGON ST",
            "address_2": "SUITE 515",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023584",
            "telephone_number": "915-253-1757",
            "fax_number": "915-544-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N OREGON ST",
            "address_2": "SUITE 515",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023584",
            "telephone_number": "915-253-1757",
            "fax_number": "915-544-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030412302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Gonzalez, SLPA
• Nicolas Noel Gonzalez, RN
• Norma Gaytan Gonzalez, LMSW
• Norma S. Gonzalez, SLP
• Nubia Valeria Gonzalez
• Patricia Gonzalez
• Raymundo Gonzalez, APRN
• Ricardo Gonzalez, CNS
• Roberta Ann Gonzalez, FNP-C
• Roberto Gonzalez, MD

• Internal Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.