NPIMap

Individual provider Active NPI

Gonzalo F Pares, M.D.

  • Neurology Physician
  • Spartanburg, SC
National Provider Identifier
1982809042
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
17884 Issued in SC
Practice address
243 E Blackstock Rd Ste 6
Spartanburg, SC 29301-2653
Phone
(864) 574-8925
Fax
(864) 574-8922
NPI assigned
Jun 19, 2007
Last updated
Apr 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 17884 SC Primary

Addresses

Primary practice location

243 E Blackstock Rd Ste 6
Spartanburg, SC 29301-2653

Mailing address

PO Box 170158
Spartanburg, SC 29301-0022
Phone (864) 574-8925

Other identifiers 2

IdentifierTypeStateIssuer
T19432MedicaidSC
P00137245OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040223000622 SC Practitioner - Neurology 7416853908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

233 E Blackstock Rd
Suite J
Spartanburg, SC 29301-2652
Phone 86457489251000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Neurology Care LLC Neurology CurrentSince Oct 27, 2003 Accepting new patients

Locations

233 E Blackstock Rd
Ste J
Spartanburg, SC 29301
Phone (864) 587-9872

243 E Blackstock Rd
Ste 6
Spartanburg, SC 29301
Phone (864) 476-9249

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1982809042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170158",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293010022",
            "telephone_number": "864-574-8925",
            "fax_number": "864-574-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 E BLACKSTOCK RD STE 6",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012653",
            "telephone_number": "864-574-8925",
            "fax_number": "864-574-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARES",
        "first_name": "GONZALO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "17884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T19432",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00137245",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.