Individual provider Active NPI

Ricardo Dario Gonzalez, M.D.

  • Urology Physician
  • Bradenton, FL
National Provider Identifier
1992071252
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME130265 Issued in FL
Practice address
200 3Rd Ave W Ste 210
Bradenton, FL 34205-8633
Phone
(941) 792-0340
Fax
(941) 794-2251
NPI assigned
Mar 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME130265 FL Primary

Addresses

Primary practice location

200 3Rd Ave W Ste 210
Bradenton, FL 34205-8633

Mailing address

2160 Colonial Blvd
Fort Myers, FL 33907-1410
Phone (239) 931-7342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ND2 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

Enrollment IDStateProvider typePAC IDDetails
I20171120000422 FL Practitioner - Urology 1254698640 Reassigns benefits to 1 organization
I20240325003552 ND Practitioner - Urology 1254698640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.48 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Urology CurrentSince Oct 23, 2017 Accepting new patients
Genesiscare USA of Florida LLC Urology Current Accepting new patients
St Alexius Medical Center CurrentSince Feb 11, 2024 Accepting new patients
St. Alexius Medical Center CurrentSince Feb 11, 2024 Accepting new patients
Genesiscare USA of Florida LLC Urology CurrentSince Oct 23, 2017 Accepting new patients
Genesiscare USA of Florida LLC Urology Past Accepting new patients

Locations

200 3rd Ave W
Ste 210
Bradenton, FL 34205
Phone (941) 782-5439

2160 Colonial Blvd
Fort Myers, FL 33907

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

842 Sunset Lake Blvd
Ste 403
Venice, FL 34292
Phone (941) 485-3351

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992071252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071410",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 3RD AVE W STE 210",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058633",
            "telephone_number": "941-792-0340",
            "fax_number": "941-794-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RICARDO",
        "middle_name": "DARIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME130265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.