NPIMap

Individual provider Active NPI

Melchor Gonzalez, M.D.

  • Specialist
  • Palm Coast, FL
National Provider Identifier
1902806151
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME72928
Practice address
61 Memorial Medical Pkwy
Suite 3816
Palm Coast, FL 32164-5981
Phone
(386) 586-1720
Fax
(386) 586-5422
NPI assigned
Jul 29, 2005
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD-23968 HI
Interventional Cardiology Physician 207RI0011X MED-PHYS-LIC-111885 MT
Specialist 174400000X ME72928 Primary

Addresses

Primary practice location

61 Memorial Medical Pkwy
Suite 3816
Palm Coast, FL 32164-5981

Mailing address

61 Memorial Medical Pkwy
Suite 3816
Palm Coast, FL 32164-5981
Phone (386) 586-1720

Other practice location 1

350 Heritage Way Ste 2100
Kalispell, MT 59901-3167
Phone (406) 257-8992

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DEPTLHREVIntegrityHIMTechs@logan.org Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, HI, WI, CO, VA, MD6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20040412000645 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4486648672 Reassigns benefits to 2 organizations
I20240604003839 HI Practitioner - Interventional Cardiology 4486648672 Reassigns benefits to 2 organizations
I20250603001461 WI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4486648672 Reassigns benefits to 1 organization
I20250623000475 CO Practitioner - Cardiovascular Disease (Cardiology) 4486648672 Reassigns benefits to 2 organizations
I20251108000622 VA Practitioner - Interventional Cardiology 4486648672 Reassigns benefits to 1 organization
I20260228000741 MD Practitioner - Interventional Cardiology 4486648672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians

Practice addresses (Care Compare)

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

1733 Howell Rd
Hagerstown, MD 21740-6638
Phone (301) 797-2525

300 Exempla Cir
310 Imh Heart and Vascular Institute Lafayatt
Lafayette, CO 80026-3394
Phone (303) 272-0500

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

3803 Spring St
Suite 410
Mount Pleasant, WI 53405-1660
Phone (262) 687-8260

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-111885MTMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 7, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 7, 2025 Accepting new patients
Kau Hospital CurrentSince May 22, 2024 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Oct 10, 2025 Accepting new patients
Hilo Benioff Medical Center CurrentSince May 22, 2024 Accepting new patients
Kau Hospital CurrentSince May 22, 2024 Accepting new patients
Platte Valley Medical Group LLC CurrentSince Jun 1, 2025 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Nov 30, 2022 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince May 23, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Oct 10, 2025 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Feb 10, 2026 Accepting new patients
Hilo Benioff Medical Center CurrentSince May 22, 2024 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Adventhealth Primary Care Network Inc Past Accepting new patients
Juan Joel Garza, MD PA Past Accepting new patients
Halifax Healthcare Systems Inc Past Accepting new patients
The Heart Center of Palm Coast, LLC PastSince Mar 27, 2022 Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1818 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-2440

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

400 Indiana St
Ste 390
Golden, CO 80401
Phone (303) 463-9600

300 Exempla Cir
Ste 310
Lafayette, CO 80026
Phone (303) 272-0500

5005 Port St John Pkwy
Ste 2100
Port St John, FL 32927
Phone (321) 268-6834

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

1733 Howell Rd
Hagerstown, MD 21740
Phone (301) 797-2525

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

400 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 465-3000

3803 Spring St
Ste 410
Mount Pleasant, WI 53405
Phone (262) 687-6094

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDHCD
  • Direct secure messaging: melchor.gonzalez.1@17832.direct.athenahealth.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1902806151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MEMORIAL MEDICAL PKWY",
            "address_2": "SUITE 3816",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645981",
            "telephone_number": "386-586-1720",
            "fax_number": "386-586-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MEMORIAL MEDICAL PKWY",
            "address_2": "SUITE 3816",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645981",
            "telephone_number": "386-586-1720",
            "fax_number": "386-586-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Heritage Way Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013167",
            "country_code": "US",
            "telephone_number": "406-257-8992",
            "fax_number": "406-257-8996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MELCHOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "HI",
            "license": "MD-23968",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-111885",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "ME72928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DEPTLHREVIntegrityHIMTechs@logan.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "350 Heritage Way Ste 2100",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.