MIRANDA V GONZALEZ MD
NPI 1205571270
Family Medicine in Liverpool, NY

Active since May 03, 2022PECOS EnrolledAccepts Medicare Assignment
5100 W TAFT RD STE 1D, LIVERPOOL, NY 13088(315) 452-2828 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miranda V Gonzalez Md NPPES

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

MIRANDA V GONZALEZ MD (NPI 1205571270) is an individual family medicine provider in Liverpool, New York, licensed in New York (339554) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205571270
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMIRANDA V GONZALEZCredential: MD
Location Address5100 W TAFT RD STE 1DLiverpool, NY 13088-3808
Mailing Address301 Prospect Ave # MsoSyracuse, NY 13203-1807 · (315) 448-5881
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 3, 2022
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
NPI 1205571270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 339554
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5100 W TAFT RD STE 1D, Liverpool, NY 13088

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Miranda V Gonzalez Md 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 ID2769987155
PECOS Enrollment IDI20250925004215
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13088 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 3

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

Nurse Practitioner (Family)
5100 W TAFT RD STE 1D
LIVERPOOL, NY 13088
Physician Assistant
5100 W TAFT RD STE 1D
LIVERPOOL, NY 13088
Family Medicine
5100 W TAFT RD STE 1D
LIVERPOOL, NY 13088

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 Miranda Gonzalez's NPI number?

The NPI number for Miranda Gonzalez is 1205571270. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Where is Miranda Gonzalez located?

Miranda Gonzalez practices at 5100 W Taft Rd Ste 1D, Liverpool, NY 13088. The listed phone number is (315) 452-2828.

What is Miranda Gonzalez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Miranda Gonzalez enrolled in Medicare?

Yes. Miranda Gonzalez 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.

Is Miranda Gonzalez affiliated with any hospitals?

According to CMS data, Miranda Gonzalez is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Miranda Gonzalez was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.