NPIMap

Individual provider Active NPI

Alfredo Ernesto Gonzalez, MD

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1992776116
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K0044 Issued in TX
Practice address
125 W Hague Rd
Suite 570
El Paso, TX 79902-5814
Phone
(915) 544-7767
Fax
(915) 532-6938
NPI assigned
Jan 27, 2006
Last updated
Aug 22, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X K0044 TX Primary

Addresses

Primary practice location

125 W Hague Rd
Suite 570
El Paso, TX 79902-5814

Mailing address

125 W Hague Rd
Suite 570
El Paso, TX 79902-5814
Phone (915) 544-7767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100830000192 TX Practitioner - NephrologyPractitioner - Internal Medicine 0244270403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Consultants of El PasoGroup PAC ID 1355381518, 7 clinicians

Practice addresses (Care Compare)

1566 Lomaland Dr
El Paso, TX 79935-4202
Phone (915) 544-7767

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0044TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Consultants of El Paso Nephrology CurrentSince Jan 1, 1999 Accepting new patients
Complete Care Partners LLC PastSince Jan 1, 1999 Accepting new patients

Locations

125 W Hague Rd
Ste 440
El Paso, TX 79902
Phone (915) 533-5733

125 W Hague Rd
Ste 570
El Paso, TX 79902
Phone (915) 541-1156

1566 Lomaland Dr
El Paso, TX 79935
Phone (915) 544-7767

1600 Medical Center Dr
Ste 120
El Paso, TX 79902
Phone (915) 313-9569

5255 Woodrow Bean
Ste 9
El Paso, TX 79924
Phone (915) 544-7767

Interoperability endpoints

  • Direct secure messaging: kidneyconsultants.agonzalez@156366.advancedmd-direct.com

Organizations & group practices 2

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 9

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1992776116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W HAGUE RD",
            "address_2": "SUITE 570",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025814",
            "telephone_number": "915-544-7767",
            "fax_number": "915-532-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W HAGUE RD",
            "address_2": "SUITE 570",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025814",
            "telephone_number": "915-544-7767",
            "fax_number": "915-532-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALFREDO",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K0044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.