NIKOLAI Y GONZALES (M.D.) – Anesthesiology Physician, NPI 1053379453

NIKOLAI Y GONZALES (M.D.) is a healthcare provider. based in Swampscott, Massachusetts. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 224717 (MA). The NPI Number for NIKOLAI Y GONZALES (M.D.) is 1053379453

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
NIKOLAI Y GONZALES (M.D.)
NPI
1053379453
Phone
(978) 354-3384
Address
56 KING ST
Enumeration Date
3 May 2006
Last Update Date
11 January 2010

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8572828100
Graduation Year
2001 (25 years ago)
PAC ID
2365478823
Group Practice PAC ID
3971987108
Professional Enrollment ID
I20050715000354
Address ID
MA018034945BU47XXXTPKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

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Provider Addresses for NIKOLAI Y GONZALES (M.D.)

  • 56, King Street, Swampscott, Essex County, Massachusetts, 01907, United States

    SWAMPSCOTT, MA 019072131

    Phone: (978) 354-3384

    Type: Mailing

  • North Shore Medical Center - Salem Hospital, 81, Highland Avenue, Salem, Essex County, Massachusetts, 01970, United States

    ANESTHESIA ASSOC OF SALEM INC

    SALEM, MA 01970

    Phone: (978) 354-3384

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050715000354IAnesthesiologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00104Anesthesia for electroshock therapy3214$0
00811Anesthesia for other procedure on large bowel using an endoscope2727$0
00813Anesthesia for procedure on small and large bowel using an endoscope2020$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1919$0
00410Anesthesia for procedure to correct abnormal heart rhythm1111$0
View full utilization report →

Insurance plans in this area (ZIP 01907)

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Provider's Procedures

NIKOLAI Y GONZALES (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYMA00790Anesthesia for procedure in upper abdomen including use of an endoscope1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971987108View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)SC
A N E S T H E S I O L O G YMA
Internal MedicineOH
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMN
Internal Medicine, HospitalistMA
A N E S T H E S I O L O G YNH
Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MA
A N E S T H E S I O L O G YMA

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Frequently asked questions

What unique ID ties claims to NIKOLAI Y GONZALES (M.D.)?
NPI 1053379453 is assigned to NIKOLAI Y GONZALES (M.D.) under the national enumeration system.
Is NIKOLAI Y GONZALES (M.D.) active in the national directory?
NIKOLAI Y GONZALES (M.D.)'s public NPI profile is in an active state.
What does NIKOLAI Y GONZALES (M.D.) treat or focus on?
Patients typically see NIKOLAI Y GONZALES (M.D.) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does NIKOLAI Y GONZALES (M.D.) practice in Massachusetts?
You will see Swampscott, Massachusetts on file for NIKOLAI Y GONZALES (M.D.) alongside any extra practice locations.
What if Swampscott, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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