TIMOTY MARK GONZALEZ (M.D.) – Internal Medicine Physician, NPI 1982647319

TIMOTY MARK GONZALEZ (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A63479 (CA). The NPI Number for TIMOTY MARK GONZALEZ (M.D.) is 1982647319

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTY MARK GONZALEZ (M.D.)
NPI
1982647319
Phone
(702) 579-3203
Address
PO BOX 35380
Enumeration Date
14 June 2006
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
3235821190
Graduation Year
1995 (31 years ago)
PAC ID
6507023397
Group Practice PAC ID
7315842002
Professional Enrollment ID
I20120207000146
Address ID
CA902553063HU2750XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for TIMOTY MARK GONZALEZ (M.D.)

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 579-3203

    Type: Mailing

  • 2213, South Palm Avenue, Alhambra, Los Angeles County, California, 91803, United States

    ALHAMBRA, CA 918033832

    Phone:

    Type: Mailing

  • 2750, East Slauson Avenue, Huntington Park, Los Angeles County, California, 90255, United States

    HUNTINGTON PARK, CA 902553063

    Phone: (323) 582-1863

    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: 2012-02-07

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
I20120207000146IInternal MedicineCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2217$0
View full utilization report →

Insurance plans in this area (ZIP 89133)

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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: 7315842002View full group profile
NameSpecialtyState
Internal MedicineCA
-CA
-CA
Family PracticeCA
-CA
-CA
Physical Therapist In Private PracticeNV
Internal MedicineCA
-CA
Internal Medicine, Geriatric MedicineCA

Reviews

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Frequently asked questions

What is the standard ID for TIMOTY MARK GONZALEZ (M.D.) in the U.S.?
In the U.S., TIMOTY MARK GONZALEZ (M.D.) is identified by NPI 1982647319.
Does the public listing show TIMOTY MARK GONZALEZ (M.D.) as active?
TIMOTY MARK GONZALEZ (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say TIMOTY MARK GONZALEZ (M.D.) does?
Insurance directories may phrase it differently, but here TIMOTY MARK GONZALEZ (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to TIMOTY MARK GONZALEZ (M.D.)?
The directory associates TIMOTY MARK GONZALEZ (M.D.) with Las Vegas, Nevada. Check all listed addresses for suites or satellite offices.
Why is information missing for TIMOTY MARK GONZALEZ (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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