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DR. JONATHAN KENNETH GONZALEZ MD
NPI 1184484255
Student in an Organized Health Care Education/Training Program in Fredericksburg, VA

Active since March 19, 2024PECOS Enrolled
12101 CAROL LN STE 101, FREDERICKSBURG, VA 22407(540) 741-9300 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathan Kenneth Gonzalez Md NPPES

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

DR. JONATHAN KENNETH GONZALEZ MD (NPI 1184484255) is an individual student in an organized health care education/training program in Fredericksburg, Virginia and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184484255
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JONATHAN KENNETH GONZALEZCredential: MD
Location Address12101 CAROL LN STE 101Fredericksburg, VA 22407-6104
Mailing Address12101 Carol Ln Ste 101Fredericksburg, VA 22407-6104 · (540) 741-9300
Phone(540) 741-9300
Sole ProprietorYes
Enumeration DateMarch 19, 2024
Last NPPES UpdateJune 24, 2025
NPPES CertifiedJune 24, 2025
✔ NPI 1184484255 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.
12101 CAROL LN STE 101, Fredericksburg, VA 22407
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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)

Dr. Jonathan Kenneth 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.

RACHEL COGGINS
Physical Medicine & Rehabilitation
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 741-9300
YAA AMOAH-TACHIE MD
Student in an Organized Health Care Education/Training Program
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 741-9300
MARY CATHLEEN ADAMS
Student in an Organized Health Care Education/Training Program
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 741-9300
BRIDGET MARIE SMITH DO
Family Medicine
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 741-9300
SIERRA ASHTON SMITH MD
Family Medicine
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 741-9300
LUCIE SORELLE TCHUINTE LEKUIKEU MD
Student in an Organized Health Care Education/Training Program
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 741-9300
ABIGAIL RUBIO MD
Student in an Organized Health Care Education/Training Program
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 418-6681
DURDANA SHAH
Student in an Organized Health Care Education/Training Program
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 741-9300

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 Jonathan Gonzalez's NPI number?

The NPI number for Jonathan Gonzalez is 1184484255. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Jonathan Gonzalez located?

Jonathan Gonzalez practices at 12101 Carol Ln Ste 101, Fredericksburg, VA 22407. The listed phone number is (540) 741-9300.

What is Jonathan 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 Jonathan Gonzalez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jonathan Gonzalez was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.