DR. GERARDO GONZALEZ M.D.
NPI 1134152051
Internal Medicine in Hialeah, FL
NPI Status: Active since July 07, 2006
- Individual
- Male
- Internal Medicine
- Accepts Insurance
- PECOS Enrolled
About GERARDO GONZALEZ
This page provides the complete NPI Profile along with additional information for Gerardo Gonzalez, an internist established in Hialeah, Florida with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1134152051 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number ME43775 (FL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1134152051
- Provider Name
- DR. GERARDO GONZALEZ M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2020 W 64TH ST HIALEAH, FL 33016
- Location Phone
- (305) 642-5366
- Mailing Address
- 2387 W 68TH ST SUITE #304 HIALEAH, FL 33016
- Mailing Phone
- (305) 824-3604
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2006
- Last Update Date
- 04-15-2024
- Code Navigator
An internist like Gerardo Gonzalez 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.
Location Map
Secondary Locations
- 2387 W 68th St Suite #304
Hialeah, FL 33016
(305) 824-3604
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
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME43775
- License State
- FL
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 174400000X | Other Service Providers | Specialist | ME0043775 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Catastrophic 9200 (+ Incentives) - HMO
- Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Gerardo Gonzalez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 33016 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $141.56
- Minimum New Patient Price $60.92
- Maximum New Patient Price $187.05
- Average New Patient Copayment $35.39
- Minimum New Patient Copayment $15.23
- Maximum New Patient Copayment $46.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $107.17
- Minimum Established Patient Price $18.99
- Maximum Established Patient Price $150.24
- Average Established Patient Copayment $26.79
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.56
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. GERARDO GONZALEZ 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. | |||||||||
1 | 1 | 3 | 4 | 1 | 5 | 2 | 0 | 5 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 6 | 4 | 2 | 5 | 4 | 0 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 6 + 4 + 2 + 5 + 4 + 0 + 1 + 0 + 24 = 49 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
50 - 49 = 1 | 1 |
The NPI number 1134152051 is valid because the calculated check digit 1 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 |
---|---|---|---|
1598009490 | MRS. TARLIKA PATEL RPH Individual | Pharmacist | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-1511 |
1477989051 | KIRENIA PEREZ Individual | Pharmacist | 2020 W 64TH ST HIALEAH, FL 33016 (305) 631-5924 |
1558670422 | YORBELL SORIS M.D Individual | Family Medicine | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1215062393 | DR. JESUS LINO JIMENEZ BARREDO MD Individual | Family Medicine | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1477808269 | DR. IVETTE M ALFONSO SILVA MD Individual | Internal Medicine | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1720256779 | DR. SONIA LOSA-LAMAZARES M.D. Individual | Family Medicine | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1306134168 | DR. EKIE G VAZQUEZ-MALDONADO M.D. Individual | Internal Medicine (Gastroenterology) | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1750913919 | ANGELA LOURDES CASTELLANOS Individual | Physical Therapy Assistant | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1700941135 | LEON MEDICAL CENTERS LLC Organization | Pharmacy (Community/Retail Pharmacy) | 2020 W 64TH ST HIALEAH, FL 33016 (305) 631-5924 |
1568587087 | LEON MEDICAL CENTERS LLC Organization | Pharmacy (Managed Care Organization Pharmacy) | 2020 W 64TH ST HIALEAH, FL 33016 (305) 631-5924 |
1679902241 | CRISTIAN D NUNEZ M.D. Individual | Pediatrics | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1609228113 | DUNIA ROJAS ESPINOSA MD Individual | Family Medicine | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1447678727 | MIGUEL ANGEL CRUZ MD Individual | Family Medicine (Adult Medicine) | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1770877946 | DR. IVET JORDAN M.D. Individual | Family Medicine | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1053073932 | IVONNE DEL RIO PHYSICAL THERAPY AST Individual | Physical Therapist | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1013223643 | DR. RICHARD GONZALEZ PEREZ M.D. Individual | Family Medicine | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1568846780 | AGDAMIS CARRAZANA MD Individual | Family Medicine | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1861025033 | LUISA AGUILA Individual | Nurse Practitioner | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1710987904 | GUSTAVO MIGUEL BANTI M.D. Individual | Urology | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
1801411251 | MRS. LINDSAY FUENTES OD Individual | Optometrist | 2020 W 64TH ST HIALEAH, FL 33016 (305) 642-5366 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134152051, enumerated in the NPI registry as an "individual" on July 07, 2006
The provider is located at 2020 W 64th St Hialeah, Fl 33016 and the phone number is (305) 642-5366
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Cigna Healthcare and Wellpoint. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $141.56 with an average copayment of $35.39 for new patient appointments. Established patients should expect a typical charge of $107.17 and an average copayment of 26.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 07, 2006. 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.