PEDRO JOSE GONZALEZ JIMENEZ
NPI 1013394345
Pediatrics - Pediatric Emergency Medicine in New Haven, CT

Active since May 06, 2015PECOS EnrolledAccepts Medicare Assignment
789 HOWARD AVE, YNHH PEDIATRICS, NEW HAVEN, CT 06519(203) 688-5555 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, May 20, 2020, May 9, 2017 (3 updates tracked since 2017).

About Pedro Jose Gonzalez Jimenez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDRO JOSE GONZALEZ JIMENEZ (NPI 1013394345) is an individual pediatric emergency medicine provider in New Haven, Connecticut, licensed in Texas (W1421) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1013394345
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NamePEDRO JOSE GONZALEZ JIMENEZ
Location Address789 HOWARD AVE, YNHH PEDIATRICSNew Haven, CT 06519-1304
Mailing Address789 Howard Ave, Ynhh PediatricsNew Haven, CT 06519-1304 · (203) 688-5555
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 6, 2015
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1013394345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in TX · W1421
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 85352 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 804073536 (PR)
789 HOWARD AVE, New Haven, CT 06519

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Pedro Jose Gonzalez Jimenez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284909821
PECOS Enrollment IDI20260129004228
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR
NEW HAVEN, CT 06519
Internal Medicine (Interventional Cardiology)
789 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Interventional Cardiology)
789 HOWARD AVE, YNHH,
NEW HAVEN, CT 06519
Internal Medicine (Infectious Disease)
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR
NEW HAVEN, CT 06519
Radiology (Diagnostic Radiology)
789 HOWARD AVE, TOMPKINS EAST BUILDING ROOM 2-230
NEW HAVEN, CT 06519
Nurse Practitioner (Adult Health)
789 HOWARD AVE
NEW HAVEN, CT 06519
Pharmacist
789 HOWARD AVE
NEW HAVEN, CT 06519
Pediatrics
789 HOWARD AVE, YALE PEDIATRICS, DANA BUILDING
NEW HAVEN, CT 06519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pedro Gonzalez Jimenez's NPI number?

The NPI number for Pedro Gonzalez Jimenez is 1013394345. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Pedro Gonzalez Jimenez located?

Pedro Gonzalez Jimenez practices at 789 Howard Ave Ynhh Pediatrics, New Haven, CT 06519. The listed phone number is (203) 688-5555.

What is Pedro Gonzalez Jimenez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Pedro Gonzalez Jimenez enrolled in Medicare?

Yes. Pedro Gonzalez Jimenez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Pedro Gonzalez Jimenez was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.