DR. SANDRA M GONZALEZ MD
NPI 1598750341
Pediatrics - Pediatric Emergency Medicine in Miami, FL
NPI Status: Active since September 19, 2005
- Individual
- Female
- Pediatrics
- Pediatric Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About SANDRA GONZALEZ
This page provides the complete NPI Profile along with additional information for Sandra Gonzalez, a pediatrician established in Miami, Florida with a medical specialization in Pediatrics, focusing in pediatric emergency medicine . The healthcare provider is registered in the NPI registry with number 1598750341 assigned on September 2005. The practitioner's primary taxonomy code is 2080P0204X with license number ME60524 (FL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1598750341
- Provider Name
- DR. SANDRA M GONZALEZ MD
- Other Name
- SANDRA M GONZALEZ-MONTALVO MD
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3100 SW 62ND AVE MIAMI, FL 33155
- Location Phone
- (305) 666-6511
- Mailing Address
- 10865 SW 153RD AVE MIAMI, FL 33196
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-19-2005
- Last Update Date
- 07-26-2021
- Code Navigator
A pediatrician like Sandra Gonzalez is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
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
Pediatrics Pediatric Emergency Medicine
- Taxonomy Code
- 2080P0204X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME60524
- License State
- FL
- Taxonomy Description
- A pediatrician who has special qualifications to manage emergencies in infants and children.
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 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | ME60524 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
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 |
|---|---|---|---|
| 14251 | OTHER (01) | FL | MEDICARE CORE |
Medicare Participation & PECOS Enrollment Status
Sandra 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
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of an ASP | Yes | N/A |
| Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
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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 | 5 | 9 | 8 | 7 | 5 | 0 | 3 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 14 | 5 | 0 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 1 + 4 + 5 + 0 + 3 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1598750341 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 |
|---|---|---|---|
| 1801882238 | DR. ISAAC N SHUBICH MD Individual | Specialist | 3100 SW 62ND AVE SUITE 124 MIAMI, FL 33155 (305) 662-8316 |
| 1124014550 | DR. GASTON A DE CARDENAS MD Individual | Otolaryngology (Pediatric Otolaryngology) | 3100 SW 62ND AVE SUITE 124 MIAMI, FL 33155 (305) 662-8316 |
| 1184610354 | DR. PEDRO J VILLALONGA MD Individual | Otolaryngology | 3100 SW 62ND AVE SUITE 124 MIAMI, FL 33155 (305) 662-8316 |
| 1588652481 | MRS. KATHERINE LEIGH SCHAIN MS, CGC Individual | Genetic Counselor, MS | 3100 SW 62ND AVE CRANIOFACIAL CENTER MIAMI, FL 33155 (305) 666-6511 |
| 1174504898 | BALAGANGADHAR RAO TOTAPALLY MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 3100 SW 62ND AVE MIAMI, FL 33155 (305) 662-2639 |
| 1932180650 | GEORGE KEITH MEYER MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 3100 SW 62ND AVE MIAMI, FL 33155 (305) 662-2639 |
| 1497736730 | ANDRE RASZYNSKI MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 3100 SW 62ND AVE MIAMI, FL 33155 (305) 662-2639 |
| 1750363701 | DR. JEFFREY BRETT SUSSMANE MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 3100 SW 62ND AVE MIAMI, FL 33155 (305) 662-2639 |
| 1649256207 | DR. RANI SIMON GEREIGE M.D., MPH Individual | Pediatrics | 3100 SW 62ND AVE MIAMI CHILDREN'S HOSPITAL MIAMI, FL 33155 (305) 662-8327 |
| 1699751636 | DR. MARYA A PRADO MD Individual | Pediatrics | 3100 SW 62ND AVE MIAMI, FL 33155 (305) 666-6511 |
| 1972589943 | DR. IAN P JEFFRIES MD Individual | Pediatrics | 3100 SW 62ND AVE MIAMI, FL 33155 (305) 666-6511 |
| 1609852458 | DR. FLAVIO AMED SOLIZ MD Individual | Pediatrics | 3100 SW 62ND AVE MIAMI, FL 33155 (305) 666-6511 |
| 1124004932 | DR. PABLO ANTONIO VALENCIA MD Individual | Pediatrics | 3100 SW 62ND AVE MIAMI, FL 33155 (305) 666-6511 |
| 1174501910 | MIAMI CHILDREN'S HOSPITAL Organization | Specialist | 3100 SW 62ND AVE ORTHO DEPARTMENT MIAMI, FL 33155 (305) 662-8366 |
| 1861462806 | ANA M DUARTE MD Individual | Specialist | 3100 SW 62ND AVE MIAMI, FL 33155 (305) 669-6555 |
| 1578539896 | MRS. MICHELLE DAWN BLUMSTEIN MD Individual | Specialist | 3100 SW 62ND AVE MIAMI, FL 33155 (305) 666-6511 |
| 1396712865 | MR. WILLIAM R BLOUIN MSN,ARNP,CPNP Individual | Specialist | 3100 SW 62ND AVE MIAMI, FL 33155 (305) 662-8272 |
| 1104895424 | CMS/MCH PRIMARY CARE PROGRAM Organization | Clinic/Center (Primary Care) | 3100 SW 62ND AVE MIAMI, FL 33155 (786) 624-2490 |
| 1568426773 | JOHN RAGHEB MD Individual | Neurological Surgery | 3100 SW 62ND AVE MIAMI, FL 33155 (305) 662-8386 |
| 1063477610 | WILLIAM C BAUER MD Individual | Anesthesiology | 3100 SW 62ND AVE MIAMI, FL 33155 (305) 663-8409 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598750341, enumerated in the NPI registry as an "individual" on September 19, 2005
The provider is located at 3100 Sw 62nd Ave Miami, Fl 33155 and the phone number is (305) 666-6511
The provider's speciality is Pediatrics with taxonomy code 2080P0204X with a focus in Pediatric Emergency Medicine
The provider might be accepting Accepts: AmeriHealth Caritas Next, Medicare and Medicaid. 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.
This NPI record was last updated on September 19, 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].
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