ANDRES ENRIQUE JAVIER GONZALEZ
NPI 1225662646
Family Medicine in Roseburg, OR

Q: What is Andres Javier Gonzalez's NPI number?

The NPI number for Andres Javier Gonzalez is 1225662646. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Q: What is Andres Javier Gonzalez's specialty?

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

Active since February 25, 2020PECOS Enrolled

150 NE KENNETH FORD DR, ROSEBURG, OR 97470(787) 517-9684 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2023, Feb 25, 2020 (2 updates tracked since 2020).

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About Andres Enrique Javier Gonzalez NPPES

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

ANDRES ENRIQUE JAVIER GONZALEZ (NPI 1225662646) is an individual family medicine provider in Roseburg, Oregon, licensed in Oregon (PG215628) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225662646

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameANDRES ENRIQUE JAVIER GONZALEZ

Location Address150 NE KENNETH FORD DRRoseburg, OR 97470-1042

Mailing Address1035 Euclid Ave Apt 28Miami Beach, FL 33139-4943 · (787) 517-9684

Phone(787) 517-9684

Sole ProprietorNo

Enumeration DateFebruary 25, 2020

Last NPPES UpdateApril 6, 20232 updates tracked since enumeration

NPPES CertifiedApril 6, 2023

✔ NPI 1225662646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · PG215628

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.

150 NE KENNETH FORD DR, Roseburg, OR 97470

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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)

Andres Enrique Javier 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 97470 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

MISHA MARIE PEEL DO

Family Medicine