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DEVON MONIC GONZALEZ MD
NPI 1164276366
Student in an Organized Health Care Education/Training Program in Middletown, CT

Active since April 15, 2024PECOS Enrolled
90 S MAIN ST, MIDDLETOWN, CT 06457(860) 358-6300 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2024, Apr 15, 2024 (2 updates tracked since 2024).

About Devon Monic Gonzalez Md NPPES

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

DEVON MONIC GONZALEZ MD (NPI 1164276366) is an individual student in an organized health care education/training program in Middletown, Connecticut and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164276366
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDEVON MONIC GONZALEZCredential: MD
Location Address90 S MAIN STMiddletown, CT 06457-3649
Mailing Address90 S Main St Ste 201Middletown, CT 06457-3649 · (860) 358-6486
Phone(860) 358-6300
Sole ProprietorNo
Enumeration DateApril 15, 2024
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1164276366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
90 S MAIN ST, Middletown, CT 06457
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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)

Devon Monic Gonzalez Md 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.

OPHELIA OKOH DO
Student in an Organized Health Care Education/Training Program
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6300
KIMBERLY LEGERE-SHARPLES MD
Family Medicine
90 S MAIN ST, FAMILY PRACTICE GROUP
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6300
JESSICA PAULUCCI CERDENA M.D.
Student in an Organized Health Care Education/Training Program
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6300
TIMOTHY JANE HUANG
Student in an Organized Health Care Education/Training Program
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6300
KEITH SINUSAS M.D.
Family Medicine
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-6300
STACEY DURR APRN
Nurse Practitioner (Family)
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6486
AYSEGUL OZBEK M.D.
Obstetrics & Gynecology
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-6300
JERILYN SUE WILLIAMS MD
Student in an Organized Health Care Education/Training Program
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6300

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 Devon Gonzalez's NPI number?

The NPI number for Devon Gonzalez is 1164276366. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Devon Gonzalez located?

Devon Gonzalez practices at 90 S Main St, Middletown, CT 06457. The listed phone number is (860) 358-6300.

What is Devon Gonzalez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Devon Gonzalez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Devon Gonzalez was last updated on April 24, 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.