Individual provider Active NPI

John Ray Gonzales, M.D.

  • Anesthesiology Physician
  • Seattle, WA
National Provider Identifier
1821363102
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD60912003 Issued in WA
Practice address
1229 Madison St Ste 1440
Seattle, WA 98104-3538
Phone
(206) 625-0578
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Q6629 TX
Anesthesiology Physician 207L00000X MD60912003 WA Primary

Addresses

Primary practice location

1229 Madison St Ste 1440
Seattle, WA 98104-3538

Mailing address

4144 N Central Expy
Suite 360
Dallas, TX 75204-3140
Phone (214) 827-7460

Other practice location 1

4144 N Central Expy
Suite 360
Dallas, TX 75204-3140
Phone (214) 827-7460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 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
I20160606001694 TX Practitioner - Anesthesiology 9032409941 Reassigns benefits to 4 organizations
I20241209001784 GA Practitioner - Anesthesiology 9032409941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Baylor College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians

Practice addresses (Care Compare)

126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 924-6011

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-7016

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia III PA Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
Sentry Anesthesia Management, LLC Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Dec 8, 2025 Accepting new patients
Northstar Anesthesia II PA Anesthesiology CurrentSince May 10, 2020 Accepting new patients
Dallas Anesthesiology Associates, PA Anesthesiology CurrentSince Jul 1, 2016 Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

4144 N Central Expy
Ste 360
Dallas, TX 75204
Phone (214) 252-3511

3500 Gaston Ave
Dallas, TX 75246

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Interoperability endpoints

  • Direct secure messaging: jgonzales211824@cityofhope.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1821363102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 N CENTRAL EXPY",
            "address_2": "SUITE 360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043140",
            "telephone_number": "214-827-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST STE 1440",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043538",
            "telephone_number": "206-625-0578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4144 N Central Expy",
            "address_2": "Suite 360",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752043140",
            "country_code": "US",
            "telephone_number": "214-827-7460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JOHN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q6629",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD60912003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.