Individual provider Active NPI

Jorge E Gonzalez, M.D.

  • Internal Medicine Physician
  • Chelmsford, MA
National Provider Identifier
1821081209
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
246814 Issued in MA
Practice address
2 Meeting House Road
Chelmsford, MA 01824-2700
Phone
(978) 256-5522
Fax
(978) 256-5399
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD11548 RI
Internal Medicine Physician 207R00000X 246814 MA Primary

Addresses

Primary practice location

2 Meeting House Road
Chelmsford, MA 01824-2700

Mailing address

2 Meeting House Rd
Chelmsford, MA 01824-2700
Phone (978) 256-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110803000324 MA Practitioner - Internal Medicine 9335102466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chelmsford Primary Care LLCGroup PAC ID 5597704031, 6 clinicians

Practice addresses (Care Compare)

2 Meeting House Rd
Chelmsford, MA 01824-2878
Phone 9782565522140

Hospital & facility affiliations

  • Tufts Medicine Care at Home Home health agency, Lowell, MA, CCN 227206
  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Tufts Medicine Care at Home Hospice, Lowell, MA, CCN 221508
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084
  • Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246814MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chelmsford Primary Care, LLC Internal Medicine CurrentSince Aug 1, 2011 Accepting new patients

Locations

2 Meeting House Rd
Chelmsford, MA 01824
Phone (978) 256-5522

Interoperability endpoints

  • Direct secure messaging: jorge.gonzalez@cpc.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1821081209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEETING HOUSE RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242700",
            "telephone_number": "978-256-5522",
            "fax_number": "978-256-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEETING HOUSE ROAD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242700",
            "telephone_number": "978-256-5522",
            "fax_number": "978-256-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JORGE",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD11548",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "246814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.