1. Home
  2. Directory
  3. Virginia
  4. Portsmouth
  5. General Practice
  6. NPI Profile

DR. EDWIN GONZALEZ M.D.
NPI 1043286784
General Practice in Portsmouth, VA

Active since February 23, 2006PECOS Enrolled
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-8229(757) 953-8225 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edwin Gonzalez M.d. NPPES

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

DR. EDWIN GONZALEZ M.D. (NPI 1043286784) is an individual general practice provider in Portsmouth, Virginia, licensed in Puerto Rico (6606) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043286784
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. EDWIN GONZALEZCredential: M.D.
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address2248 Haversham CloseVirginia Beach, VA 23454-1151 · (757) 289-1457 · Fax (757) 953-8225
Phone(757) 953-8229
Fax(757) 953-8225
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
✔ NPI 1043286784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 6606
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edwin Gonzalez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
DR. DANIEL VERNON UNGER M.D.
Orthopaedic Surgery
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1888

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 Edwin Gonzalez's NPI number?

The NPI number for Edwin Gonzalez is 1043286784. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Edwin Gonzalez located?

Edwin Gonzalez practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-8229.

What is Edwin Gonzalez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Edwin Gonzalez enrolled in Medicare?

Yes. Edwin Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edwin Gonzalez was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.