Jessica Renee Gonzales, MD
Individual provider Active NPI Emergency Medicine Physician · El Paso, TX
NPI 1841813151 · NPPES record last updated May 4, 2023
Key facts
- NPI
- 1841813151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- U1501 (TX)
- Practice address
- 4801 Alberta Ave
El Paso, TX 79905-2707 - Phone
- (915) 215-8000
- NPI assigned
- May 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of New Mexico School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Services of Texas PA
Practice addresses (Care Compare)
10301 Gateway Blvd W
Del Sol Med Ctr
El Paso, TX 79925-7701
Phone (915) 595-9000
Hospital & facility affiliations
- Las Palmas Medical Center a Campus of LPDS Healthc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230711003170 | TX | Practitioner - Emergency Medicine | 2062871817 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Services of Texas PA | Emergency Medicine | Current |
Accepting new patients |
Locations
1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361
1535 N Resler Dr
El Paso, TX 79912
Phone (915) 231-1600
10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | U1501 | TX | Yes |
Addresses
Primary practice location
4801 Alberta Ave
El Paso, TX 79905-2707
Mailing address
4801 Alberta Ave
El Paso, TX 79905-2707
Other providers in El Paso, TX
- Sadhana Gonuguntla
- Ana Karina Gonzales
- Irene Gonzales
- Italia Isabella Gonzales
- Jacob Ray Gonzales
- Karla Gonzales
- Lori Ann Gonzales
- Maegan Renee Gonzales
- Mark Jerome V. Gonzales
- Mike Gonzales
All providers in El Paso, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.