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MARIANA R GONZALEZ
NPI 1104274703
Internal Medicine - Geriatric Medicine in Philadelphia, PA

Active since May 25, 2016PECOS Enrolled
3900 WOODLAND AVE, PHILADELPHIA, PA 19104(717) 277-6565 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2021, Jul 26, 2019 (2 updates tracked since 2019).

About Mariana R Gonzalez NPPES

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

MARIANA R GONZALEZ (NPI 1104274703) is an individual geriatric medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD467433) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104274703
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameMARIANA R GONZALEZ
Location Address3900 WOODLAND AVEPhiladelphia, PA 19104-4551
Mailing Address3900 Woodland AvePhiladelphia, PA 19104-4551 · (215) 823-5841
Phone(717) 277-6565
Sole ProprietorNo
Enumeration DateMay 25, 2016
Last NPPES UpdateMarch 21, 20242 updates tracked since enumeration
NPPES CertifiedMarch 21, 2024
✔ NPI 1104274703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in PA · MD467433
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
3900 WOODLAND AVE, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariana R Gonzalez 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 A SPINDLER MD
Psychiatry & Neurology (Neurology)
3900 WOODLAND AVE, PADRECC, #127
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
DENIS MICHAEL CAREY LCSW
Social Worker (Clinical)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 292-7700
RONALD ANDREW SPOTTS CAADC
Counselor (Addiction (Substance Use Disorder))
3900 WOODLAND AVE, ADDICTION RECOVERY UNIT 7TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
CAROL BUHRMAN RD
Dietitian, Registered (Nutrition, Gerontological)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
MS. CARLA PATRICE CLEMENTS RN, CRNP
Nurse Practitioner (Acute Care)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
DR. FAUZIA HUSSAIN PHARM.D.
Pharmacist (Pharmacotherapy)
3900 WOODLAND AVE, PHARMACY SERVICE #119
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-4153
MR. FREDRICK W CLAUSS MPT
Physical Therapist
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
DR. LEAH C JONES M.D.
Internal Medicine
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5967

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 Mariana Gonzalez's NPI number?

The NPI number for Mariana Gonzalez is 1104274703. It was assigned to this individual provider in the NPPES registry on May 25, 2016.

Where is Mariana Gonzalez located?

Mariana Gonzalez practices at 3900 Woodland Ave, Philadelphia, PA 19104. The listed phone number is (717) 277-6565.

What is Mariana Gonzalez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Mariana Gonzalez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mariana Gonzalez was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.