Individual provider Active NPI

Cynthia Miranda Gonzalez, D.O.

  • Hospitalist Physician
  • Norfolk, VA
National Provider Identifier
1801056692
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
0102202387 Issued in VA
Practice address
830 Kempsville Rd FL 1
Norfolk, VA 23502
Phone
(757) 261-8070
Fax
(757) 995-7095
NPI assigned
Jun 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102202387 VA
Internal Medicine Physician 207R00000X 0102202387 VA
Hospitalist Physician 208M00000X 0102202387 VA Primary

Addresses

Primary practice location

830 Kempsville Rd FL 1
Norfolk, VA 23502

Mailing address

830 Kempsville Rd FL 1
Norfolk, VA 23502-3920
Phone (757) 261-8070

Other practice location 1

2025 Glenn Mitchell Dr
Sentara Princess Anne Hospital
Virginia Beach, VA 23456
Phone (757) 967-8622

Other practice location 2

2025 Glenn Mitchell Dr
Sentara Princess Anne Hospital
Virginia Beach, VA 23456
Phone (757) 967-8622

Other names 1

  • Cynthia Miranda-Gonzalez Former name

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
I20090817000345 VA Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 3577617158 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102202387VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC Family Medicine CurrentSince Sep 1, 2009 Accepting new patients
Sentara Medical Group Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
Bayview Physician Services, PC CurrentSince Sep 1, 2009 Accepting new patients
Sentara Medical Group PastSince Aug 5, 2019 Accepting new patients

Locations

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

830 Kempsville Rd
Fl 1
Norfolk, VA 23502
Phone (757) 261-8070

830 Kempsville Rd
Rm 2B223
Norfolk, VA 23502
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1801056692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 KEMPSVILLE RD FL 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-8070",
            "fax_number": "757-995-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 KEMPSVILLE RD FL 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23502",
            "telephone_number": "757-261-8070",
            "fax_number": "757-995-7095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Glenn Mitchell Dr",
            "address_2": "Sentara Princess Anne Hospital",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23456",
            "country_code": "US",
            "telephone_number": "757-967-8622",
            "fax_number": "757-686-0541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Glenn Mitchell Dr",
            "address_2": "Sentara Princess Anne Hospital",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23456",
            "country_code": "US",
            "telephone_number": "757-967-8622",
            "fax_number": "757-686-0541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CYNTHIA",
        "middle_name": "MIRANDA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-15",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102202387",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102202387",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0102202387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "MIRANDA-GONZALEZ",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.