Active NPI
Dora L. Gonzalez, M.D.
- Family Medicine Physician
- Luling, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F9485
- Practice address
- 130 Hays St
B
Luling, TX 78648-3207 - Phone
- (512) 324-1000
- NPI assigned
- Dec 22, 2005
- Last updated
- May 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F9485 | TX | Primary |
| Family Medicine Physician | 207Q00000X | MD60340257 | WA |
Addresses
Primary practice location
130 Hays St
B
Luling, TX 78648-3207
Mailing address
PO Box 204237
Dallas, TX 75320-4237
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327159YSH2 | Other | PTAN | |
| 102686601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at San Antonio, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atascosa Health Center, Inc.
Practice addresses (Care Compare)
310 W Oaklawn Rd
Pleasanton, TX 78064-4033
Phone (830) 569-8940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Seton | Family Medicine | Current | Accepting new patients |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Ascension Seton | Current | Accepting new patients | |
| Seton Family of Hospitals | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Atascosa Health Center, Inc. | Past | Accepting new patients | |
| Atascosa Health Center, Inc. | Past | Accepting new patients | |
| Ascension Seton | Past | Accepting new patients | |
| Atascosa Health Center, Inc. | Family Medicine | Past | Accepting new patients |
Locations
1900 Mark Ave
Gallup, NM 87301
Phone (505) 863-6894
306 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 863-5754
3720 Church Rock St
Gallup, NM 87301
Phone (505) 722-2261
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362
130 Hays St
#B
Luling, TX 78648
Phone (512) 875-7000
130 Hays St
Ste Bd
Luling, TX 78648
Phone (830) 875-7000
Interoperability endpoints
- dora.gonzalez.p3@direct.tachc.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 9
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.
-
dba SEBD Professional Support Services
- Family Medicine Physician
- Luling, TX
- NPI 1215118609
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
dba Ascension Seton Smithville
- Medicare Defined Swing Bed Hospital Unit
- Smithville, TX
- NPI 1598590101
-
dba Seton Community Health Center
- Community Health Clinic/Center
- Austin, TX
- NPI 1770593683
-
dba Tohatchi Health Center
- Federal Public Health Clinic/Center
- Tohatchi, NM
- NPI 1902875594
-
dba Ascension Seton Elgin Health Center
- Rural Health Clinic/Center
- Elgin, TX
- NPI 1437714987
-
- Federally Qualified Health Center (FQHC)
- Lytle, TX
- NPI 1003359209
-
- Federally Qualified Health Center (FQHC)
- Poteet, TX
- NPI 1407742109
-
- Federally Qualified Health Center (FQHC)
- Pleasanton, TX
- NPI 1750364998
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1831176635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 204237",
"city": "DALLAS",
"state": "TX",
"postal_code": "753204237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HAYS ST",
"address_2": "B",
"city": "LULING",
"state": "TX",
"postal_code": "786483207",
"telephone_number": "512-324-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DORA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F9485",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60340257",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "327159YSH2",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102686601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Luling, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.