Individual provider Active NPI

Tony Melville Gonsalves, D.O.

  • Family Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1790996908
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102202522 Issued in VA
Practice address
14349 Gideon Dr FL 2
Woodbridge, VA 22192-4641
Phone
(571) 472-8762
Fax
(571) 447-2672
NPI assigned
May 28, 2007
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102202522 VA Primary

Addresses

Primary practice location

14349 Gideon Dr FL 2
Woodbridge, VA 22192-4641

Mailing address

14349 Gideon Dr FL 2
Woodbridge, VA 22192-4641
Phone (571) 472-8762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20110312000068 VA Practitioner - Family Practice 3577630482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

Practice addresses (Care Compare)

12480 Dillingham SQ
Woodbridge, VA 22192-5258
Phone (703) 494-6111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102202522VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Family Medicine CurrentSince Oct 27, 2025 Accepting new patients
Inova Health Care Services CurrentSince Dec 8, 2025 Accepting new patients
Inova Health Care Services CurrentSince Dec 8, 2025 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

12480 Dillingham Sq
Woodbridge, VA 22192
Phone (703) 491-7177

14349 Gideon Dr
Fl 2
Woodbridge, VA 22192
Phone (571) 472-8760

Interoperability endpoints

  • Direct secure messaging: tgonsalves1449811@soc.inova.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1790996908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14349 GIDEON DR FL 2",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924641",
            "telephone_number": "571-472-8762",
            "fax_number": "571-472-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14349 GIDEON DR FL 2",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924641",
            "telephone_number": "571-472-8762",
            "fax_number": "571-447-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSALVES",
        "first_name": "TONY",
        "middle_name": "MELVILLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-28",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102202522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.