Individual provider Active NPI

Joan Marie Gonzalez, MD

  • Family Medicine Physician
  • Annandale, VA
National Provider Identifier
1790071371
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101271933 Issued in VA
Practice address
4208 Evergreen LN
Annandale, VA 22003-3235
Phone
(703) 642-7522
NPI assigned
Jun 22, 2011
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 313116 NY
Family Medicine Physician 207Q00000X MT200470 PA
Family Medicine Physician 207Q00000X 52717 CT
Family Medicine Physician 207Q00000X 0101271933 VA Primary

Addresses

Primary practice location

4208 Evergreen LN
Annandale, VA 22003-3235

Mailing address

7655 Leesburg Pike
Falls Church, VA 22043-2595
Phone (571) 786-1492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220110000465 NY Practitioner - Family Practice 6406248129 Reassigns benefits to 1 organization
I20250122002629 DC Practitioner - Family Practice 6406248129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

7655 Leesburg Pike
Falls Church, VA 22043-2595
Phone (703) 642-7522

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313116NYMDLicensed Practical Nurse
52717CTMDFamily Medicine Physician
MT200470PAMDFamily Medicine Physician
0101271933VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Single Specialty CurrentSince Dec 15, 2024 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 15, 2024 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Annandale OB GYN Single Specialty PastSince Dec 15, 2024 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 544-3400

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

7655 Leesburg Pike
Falls Church, VA 22043
Phone (571) 786-1492

1892 Preston White Dr
Reston, VA 20191
Phone (248) 849-3401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joan.gonzalez.2@8042.direct.athenahealth.com

Organizations & group practices 5

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1790071371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 LEESBURG PIKE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432595",
            "telephone_number": "571-786-1492",
            "fax_number": "703-642-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 EVERGREEN LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033235",
            "telephone_number": "703-642-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "313116",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT200470",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "52717",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101271933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.