Gus Anthony Gonzalez, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

2014027664 Issued in MO

Practice address

701 Falling Sky Dr
Edmond, OK 73034-0808

Phone

(417) 544-4147

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MO, FL2 enrollments

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 2

Specialty

Hematology/Oncology

Education

University of Oklahoma College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Oncology Institute FL, LLCGroup PAC ID 7315999372, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: gus.gonzalez@cernerdirect.coxhealth.com
• Direct secure messaging: gus.gonzalez@theoncologyinstitute.ikm.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Starling Oncology FL, LLC

  • Medical Oncology Physician
  • St Petersburg, FL
  • NPI 1730142373

  Hematology & Oncology

  Medicare reassignment Care Compare group NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  Medicare reassignment NPD
• Ozarks Medical Center

  • Psychiatric Hospital Unit
  • West Plains, MO
  • NPI 1235929027
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Jackson County Memorial Hospital Authority

  • Critical Access Hospital
  • Hollis, OK
  • NPI 1295735991
  NPD (past)
• Watonga Hospital Trust Authority

  • Ambulance
  • Watonga, OK
  • NPI 1528215886
  NPD (past)
• Watonga Hospital Trust Authority

  • General Acute Care Hospital
  • Watonga, OK
  • NPI 1578555777
  NPD (past)
• Denton Cancer Center, PLLC

  • Internal Medicine Physician
  • Denton, TX
  • NPI 1760795652
  NPD (past)
• Toi FL Mso, LLC

  • Hematology & Oncology Physician
  • St Petersburg, FL
  • NPI 1962201970
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1962497594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 FALLING SKY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730340808",
            "telephone_number": "417-544-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 FALLING SKY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730340808",
            "telephone_number": "417-544-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "GUS",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "M6151",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "2014027664",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2014027664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100216400D",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1886756-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200016575",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1886756-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962497594",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Nicklaus Golla, PHARMD
• Cristina Carpenter Gomes, SLP
• Allyssa Gomez
• Ashley Gonzales
• Ana Gonzalez Madrid
• Hayleigh Marie Gonzalez
• Lillian Goode
• Skylar Goodfellow
• Bethany Goodman
• Kimberly A Goodrich

• Hematology & Oncology Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Hematology & Oncology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.