Manuel Octavio Gonzalez, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME138174 Issued in FL

Practice address

6050 W 20TH Ave FL 3
Hialeah, FL 33016-2605

Phone

(786) 584-5555

Fax

(786) 584-5050

NPI assigned

Feb 12, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Gastroenterology

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
• Direct secure messaging: mgonzalez65270@direct.msmc.com

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.

• Physician Practices of MSMC, LLC

  • Neurological Surgery Physician
  • Miami Beach, FL
  • NPI 1356630628

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Mount Sinai Medical Center

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1639278179

  Gastroenterology

  NPD

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

• Mount Sinai Medical Center of Florida, Inc

  • General Acute Care Hospital
  • Miami Beach, FL
  • NPI 1912964768
  Care Compare affiliation

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

{
    "created_epoch": "1297468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1801193701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 W 20TH AVE FL 3",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162605",
            "telephone_number": "786-584-5555",
            "fax_number": "786-584-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 W 20TH AVE FL 3",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162605",
            "telephone_number": "786-584-5555",
            "fax_number": "786-584-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Alton Rd Ste 2522",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402948",
            "country_code": "US",
            "telephone_number": "305-674-2240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MANUEL",
        "middle_name": "OCTAVIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-12",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "262848",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME138174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgonzalez65270@direct.msmc.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "6050 W 20th Ave Fl 3",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330162605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR API",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4300 Alton Rd Ste 2522",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Magdacelys Gonzalez
• Maibel Gonzalez
• Maiderlin Gonzalez
• Manuel Gonzalez
• Manuel G Gonzalez, LMT
• Maria D Gonzalez, MASSAGE THERAPIST MA
• Maria Fernanda Gonzalez
• Mariali Gonzalez
• Mariana Gonzalez
• Mariela Gonzalez

• Gastroenterology Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.