MICHAEL JB GONZALEZ (MD) – Family Medicine Physician, NPI 1265433908

MICHAEL JB GONZALEZ (MD) is a healthcare provider. based in Narragansett, Rhode Island. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD11643 (RI). The NPI Number for MICHAEL JB GONZALEZ (MD) is 1265433908

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JB GONZALEZ (MD)
NPI
1265433908
Phone
(401) 783-6940
Address
360 KINGSTOWN RD
Enumeration Date
3 August 2005
Last Update Date
2 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017836940
Graduation Year
1991 (35 years ago)
PAC ID
5799737847
Group Practice PAC ID
0345658316
Professional Enrollment ID
I20050216000801
Address ID
RI028823258NA360XXRDXX342
Telehealth
Yes

Contacts

Secure Messaging
mgonzalez220857@direct.lifespan.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

406 FAMILY PRACTICE in RI

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Provider Addresses for MICHAEL JB GONZALEZ (MD)

  • 360, Kingstown Road, Narragansett, South County, Rhode Island, 02882, United States

    SUITE 200

    NARRAGANSETT, RI 028823239

    Phone: (401) 783-6940

    Fax: (401) 792-3676

    Type: Location

  • 10 DAVOL SQ

    SUITE 400

    PROVIDENCE, RI 029034754

    Phone: (401) 421-4000

    Fax: (401) 272-1456

    Type: Mailing

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: 2005-02-16

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
I20050216000801IFamily PracticeRITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes374186$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit143143$0
99442Telephone medical discussion with physician, 11-20 minutes5244$0
99213Established patient office or other outpatient visit, 20-29 minutes5045$0
83036Hemoglobin a1c level4327$0
View full utilization report →

Insurance plans in this area (ZIP 02882)

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Provider's Procedures

MICHAEL JB GONZALEZ (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINERI90670Pneumococcal vaccine for injection into muscle3434

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: 0345658316View full group profile
NameSpecialtyState
Nurse PractitionerRI
Internal MedicineRI
Physician AssistantRI
Physician AssistantRI
Nurse PractitionerRI
Physician AssistantRI
Physician AssistantRI
Family PracticeRI
Nurse PractitionerRI
Nurse PractitionerRI

Reviews

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Frequently asked questions

What is the registry number for MICHAEL JB GONZALEZ (MD)?
The registry entry for MICHAEL JB GONZALEZ (MD) shows NPI 1265433908.
Quick check: is MICHAEL JB GONZALEZ (MD) active?
Public NPPES data shows MICHAEL JB GONZALEZ (MD) with an active NPI status right now.
What type of care does MICHAEL JB GONZALEZ (MD) provide?
MICHAEL JB GONZALEZ (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MICHAEL JB GONZALEZ (MD)?
MICHAEL JB GONZALEZ (MD) shows a connection to Narragansett, Rhode Island in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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