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CARLOS ANTONIO GONZALEZ MD
NPI 1225170749
Family Medicine in Chicago, IL

Active since February 12, 2007PECOS Enrolled
4311 S KEDVALE AVE, CHICAGO, IL 60632(773) 552-1139 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carlos Antonio Gonzalez Md NPPES

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

CARLOS ANTONIO GONZALEZ MD (NPI 1225170749) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036040539) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225170749
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARLOS ANTONIO GONZALEZCredential: MD
Location Address4311 S KEDVALE AVEChicago, IL 60632-4004
Mailing Address2834 N Milwaukee AveChicago, IL 60618 · (773) 772-1139 · Fax (773) 772-9260
Phone(773) 552-1139
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJanuary 22, 2020
✔ NPI 1225170749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036040539
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.
4311 S KEDVALE AVE, Chicago, IL 60632
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Antonio 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.

Medicare Billing Reassignment

Medicare enrollment records show Carlos Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Fort Defiance Indian Hospital Board, Incorporation
1,222 mi
General Acute Care Hospital
CORNER OF ROUTE N12 & N7
Fort Defiance, AZ 86504
  • Reassigned Medicare billing, Texas enrollment
  • 518 clinicians in this Medicare group
NPI 1477876639 (928) 729-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60632 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Carlos Gonzalez's NPI number?

The NPI number for Carlos Gonzalez is 1225170749. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Carlos Gonzalez located?

Carlos Gonzalez practices at 4311 S Kedvale Ave, Chicago, IL 60632. The listed phone number is (773) 552-1139.

What is Carlos Gonzalez's specialty?

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

Is Carlos Gonzalez enrolled in Medicare?

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

Which organization bills Medicare for Carlos Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Gonzalez reassigns Medicare benefits to The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carlos Gonzalez was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.