DR. THOMAS ARTHUR GONWA M.D.
NPI 1124017710
Internal Medicine - Nephrology in Jacksonville, FL


Quality Rating: 77.12 out of 100 score

NPI Status: Active since October 17, 2005

Contact Information

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 953-2000

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  • Individual
  • Male
  • Internal Medicine
  • Nephrology
  • Accepts Insurance

About THOMAS GONWA

This page provides the complete NPI Profile along with additional information for Thomas Gonwa, an internist established in Jacksonville, Florida with a medical specialization in Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1124017710 assigned on October 2005. The practitioner's primary taxonomy code is 207RN0300X with license number ME86183 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1124017710
Provider Name
DR. THOMAS ARTHUR GONWA M.D.
Gender
Male
Entity Type
Individual
Location Address
4500 SAN PABLO RD S JACKSONVILLE, FL 32224
Location Phone
(904) 953-2000
Mailing Address
4500 SAN PABLO RD S JACKSONVILLE, FL 32224
Mailing Phone
(904) 953-2000
Is Sole Proprietor?
No
Enumeration Date
10-17-2005
Last Update Date
09-30-2020
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An internist like Thomas Gonwa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License No.
ME86183
License State
FL
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
390007795OTHER (01)FLRAILROAD MEDICARE
262864300MEDICAID (05)FL 
58818OTHER (01)FLBLUECROSS/BLUESHIELD

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 77.12, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 77.12 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 68.29

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 55.44

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 55.44

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for DR. THOMAS ARTHUR GONWA M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124017710
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144011472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 1 + 1 + 4 + 7 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1124017710 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023015062MS. KATHERINE ANN LEMASTER LCSW, RN
Individual
Social Worker (Clinical)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 296-3700
1962403964MS. NANCY DALTON CRNA
Individual
Nurse Anesthetist, Certified Registered4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 296-4667
1285621573DR. ROBERT ALLEN GILLHAM JR. M.D.
Individual
Allergy & Immunology4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1831186089DR. GEOFFREY STEVEN GATES M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1750378907DR. THOMAS PATRICK FOX M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1083601231DR. GRETCHEN KAY LIPKE M.D.
Individual
Emergency Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1790772747DR. PHILIP PAUL METZGER M.D.
Individual
Colon & Rectal Surgery4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1316935190DR. SANFORD JOSPEH FINCK M.D.
Individual
Internal Medicine (Critical Care Medicine)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1871582726DR. JAN MARIE LARSON M.D.
Individual
Family Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1437148392DR. JERRY WAYNE SAYRE M.D.
Individual
Family Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1912996877DR. WALTER CLYBURN TAYLOR III M.D.
Individual
Family Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1689663569DR. JAMES SAMUEL SCOLAPIO M.D.
Individual
Internal Medicine (Gastroenterology)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1598754210DR. RONALD ALBERT HINDER M.D.
Individual
Surgery4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1043209778DR. WILLIAM JAMES MAPLES M.D.
Individual
Internal Medicine (Hematology & Oncology)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1578552204DR. SHARON YVETT EZELL GERLACH M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1619966348DR. FRANCOIS LETTE M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1154310886DR. KAY MULLINAX MITCHELL M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1518956192DR. KENNETH GORDON NIX JR. M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1548259138DR. KATHLEEN ALLEN ROWLETT M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1427047018DR. JAMES HANNIS STEWART M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124017710, enumerated in the NPI registry as an "individual" on October 17, 2005

The provider is located at 4500 San Pablo Rd S Jacksonville, Fl 32224 and the phone number is (904) 953-2000

The provider's speciality is Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

This NPI record was last updated on October 17, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.