NPIMap

Individual provider Active NPI

Omar Y Gonzalez, M.D.

  • Infectious Disease Physician
  • Scottsdale, AZ
National Provider Identifier
1982637849
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
31845 Issued in AZ
Practice address
9060 E Via Linda Ste 250
Scottsdale, AZ 85258-5425
Phone
(480) 614-2000
Fax
(480) 614-1751
NPI assigned
Jul 7, 2006
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 31845 AZ Primary

Addresses

Primary practice location

9060 E Via Linda Ste 250
Scottsdale, AZ 85258-5425

Mailing address

9060 E Via Linda Ste 250
Scottsdale, AZ 85258-5425
Phone (480) 614-2000

Other identifiers 1

IdentifierTypeStateIssuer
862335-01MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000838 AZ Practitioner - Infectious DiseasePractitioner - Internal Medicine 1759368863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Pulmonary Specialists LTDGroup PAC ID 7618863192, 44 clinicians

Practice addresses (Care Compare)

9060 E Via Linda
Suite 250
Scottsdale, AZ 85258-5425
Phone (602) 261-7830

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31845AZMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pulmonary Specialists LTD Infectious Disease CurrentSince Sep 1, 2007 Accepting new patients

Locations

3330 N 2nd St
Ste 300
Phoenix, AZ 85012
Phone (602) 261-7830

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

9060 E Via Linda
Scottsdale, AZ 85258
Phone (480) 551-8627

9060 E Via Linda
Ste 250
Scottsdale, AZ 85258
Phone (480) 614-2000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750
  • Direct secure messaging: omar.gonzalez@azpulm.directbygreenway.com

Organizations & group practices 1

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1982637849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9060 E VIA LINDA STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585425",
            "telephone_number": "480-614-2000",
            "fax_number": "480-614-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9060 E VIA LINDA STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585425",
            "telephone_number": "480-614-2000",
            "fax_number": "480-614-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "OMAR",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "31845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "862335-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.