Individual provider Active NPI

Dora L. Gonzalez, M.D.

  • Family Medicine Physician
  • Luling, TX
National Provider Identifier
1831176635
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F9485 Issued in TX
Practice address
130 Hays St
B
Luling, TX 78648-3207
Phone
(512) 324-1000
NPI assigned
Dec 22, 2005
Last updated
May 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
327159YSH2OtherPTAN
102686601MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130214000457 TX Practitioner - Family Practice 5597919886 Reassigns benefits to 2 organizations

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.Group PAC ID 3779579412, shared by 8 NPIs, 22 clinicians

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

OrganizationSpecialtyStatusNew patients
Ascension Seton Family Medicine Current Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Nov 6, 2012 Accepting new patients
Ascension Seton CurrentSince Feb 1, 2015 Accepting new patients
Seton Family of Hospitals CurrentSince Feb 1, 2015 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Nov 6, 2012 Accepting new patients
Atascosa Health Center, Inc. PastSince Sep 6, 2020 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

  • Direct secure messaging: dora.gonzalez.p3@direct.tachc.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.