JAVIER DAVID GONZALEZ (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1417310780

JAVIER DAVID GONZALEZ (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 23701 (NV). The NPI Number for JAVIER DAVID GONZALEZ (MD) is 1417310780

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JAVIER DAVID GONZALEZ (MD)
NPI
1417310780
Phone
(702) 216-3346
Address
6355 S BUFFALO DR FL 3
Enumeration Date
3 April 2016
Last Update Date
30 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
7024279587
Graduation Year
2016 (10 years ago)
PAC ID
5890088223
Group Practice PAC ID
7416054622
Professional Enrollment ID
I20230726003978
Address ID
NV891280618LA2880XWAYX408
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

339 OBSTETRICS/GYNECOLOGY in NV

Provider Addresses for JAVIER DAVID GONZALEZ (MD)

  • 6355 S BUFFALO DR FL 3

    LAS VEGAS, NV 891132133

    Phone: (702) 216-3346

    Fax: (702) 671-6883

    Type: Mailing

  • 2880 N TENAYA WAY STE 340

    LAS VEGAS, NV 891280642

    Phone: (702) 255-3547

    Fax: (702) 307-2204

    Type: Location

  • University of Colorado Health Sciences Center Administration, 13001, East 17th Place, Aurora, Adams County, Colorado, 80045, United States

    AURORA, CO 800452570

    Phone: (303) 724-2052

    Type: Mailing

  • 13001 E 17th Pl

    Aurora, CO 800452570

    Phone: (303) 724-2052

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2023-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($56).

Total Amount

$91

General + Research + Ownership

Payments

3

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-26

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
I20230726003978IObstetrics/GynecologyNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89113)

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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: 7416054622View full group profile
NameSpecialtyState
Cardiac ElectrophysiologyNV
Family PracticeNV
Nurse PractitionerNC
Physician AssistantNV
E N D O C R I N O L O G YIA
Family PracticeNV
Physician AssistantNV
Nurse PractitionerNV
Nurse PractitionerUT
General PracticeNV

Reviews

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Frequently asked questions

Does JAVIER DAVID GONZALEZ (MD) have a public NPI I can cite?
Public records show JAVIER DAVID GONZALEZ (MD) under NPI 1417310780.
Should I treat JAVIER DAVID GONZALEZ (MD) as an active provider?
Patients and plans typically see JAVIER DAVID GONZALEZ (MD) as active in the national extract.
What services align with JAVIER DAVID GONZALEZ (MD)'s listing?
JAVIER DAVID GONZALEZ (MD)'s public classification highlights Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JAVIER DAVID GONZALEZ (MD)?
JAVIER DAVID GONZALEZ (MD) is associated with Las Vegas, Nevada in the same public data insurers reference.
Who maintains JAVIER DAVID GONZALEZ (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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