Gonzalo C Vicente, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0059832 Issued in MD

Practice address

4600 N Park Ave
Chevy Chase, MD 20815-4518

Phone

(301) 215-7100

Fax

(301) 215-4144

NPI assigned

Jul 7, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

OphthalmologyAlso: Pediatric Medicine

Education

Jefferson Medical College of Thomas Jefferson University, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Doctors of Washington PCGroup PAC ID 5799758595, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

52.79 of 100Reported as group

Quality

0

Improvement activities

40

Cost

75.97

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gonzalo.vicente.p6@direct.katzeneye.nextgenshare.com

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.

• Eye Doctors of Washington PC

  dba Eye Doctors Of Washington

  • Ophthalmology Physician
  • Chevy Chase, MD
  • NPI 1952438202

  DC

  Medicare reassignment Care Compare group NPD
• MGMC, LLC

  • General Practice Physician
  • Washington, DC
  • NPI 1891797148
  Medicare reassignment NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Brandywine, MD
  • NPI 1285064550
  NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • White Plains, MD
  • NPI 1407559081
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831121003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR STE 230",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157005",
            "telephone_number": "301-215-7100",
            "fax_number": "301-215-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N PARK AVE",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154518",
            "telephone_number": "301-215-7100",
            "fax_number": "301-215-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTE",
        "first_name": "GONZALO",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0059832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Vaughn, PT, CHT
• Veena Kapur, PH. D., P. a.
• Muthuraman Venkataraman, PT
• Alyssa Denise Verbalis, PH.D.
• Jufel Viajar, PT, DPT, LSVTC
• David John Vieweger, DPM
• Joseph Elbert Villamor
• Vision and Conceptual Development Center LLC
• Vision and Conceptual Development Center LLC
• Vitality Medical Infusions LLC

• Ophthalmology Physician in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.