ELISA GLUBOK GONZALEZ MD
NPI 1346879095
Family Medicine in Woonsocket, RI

Q: What is Elisa Glubok Gonzalez's NPI number?

The NPI number for Elisa Glubok Gonzalez is 1346879095. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Q: What is Elisa Glubok Gonzalez's specialty?

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

Active since April 05, 2020PECOS Enrolled

115 CASS AVE, WOONSOCKET, RI 02895(401) 769-4100 Get Directions Write a Review

NPPES record last updated: January 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 17, 2026, Sep 17, 2025, Nov 6, 2023 and 2 more (5 updates tracked since 2020).

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About Elisa Glubok Gonzalez Md NPPES

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

ELISA GLUBOK GONZALEZ MD (NPI 1346879095) is an individual family medicine provider in Woonsocket, Rhode Island, licensed in Rhode Island (MD19377) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Warren Alpert Medical School Of Brown University (2020).

NPPES Registry Identity

NPI1346879095

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELISA GLUBOK GONZALEZCredential: MD

Location Address115 CASS AVEWoonsocket, RI 02895-4731

Mailing Address450 Clinton StWoonsocket, RI 02895-3207 · (401) 767-4100 · Fax (401) 235-6895

Phone(401) 769-4100

Sole ProprietorNo

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2020

Enumeration DateApril 5, 2020

Last NPPES UpdateJanuary 17, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2026

✔ NPI 1346879095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in RI · MD19377✔ Licensed in CA · A184272✔ Licensed in KS · 04-51422

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.

115 CASS AVE, Woonsocket, RI 02895

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Secondary Practice Locations 3

Location 1751 Lombardi CtSanta Rosa, CA 95407-6798 · Phone (707) 547-2222

Location 2355 Prairie AveProvidence, RI 02905-1928 · Phone (401) 444-0570 · Fax (401) 444-0427

Location 3310 E Walnut StGarden City, KS 67846-5572 · Phone (620) 275-9752 · Fax (620) 275-4306

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisa Glubok Gonzalez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284096025

PECOS Enrollment IDI20250821003295

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 Reassignments

Medicare enrollment records show Elisa Glubok Gonzalez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prime Healthcare Services Landmark LLC

Same address

Orthopaedic Surgery

219 CASS AVE
Woonsocket, RI 02895

Reassigned Medicare billing, Rhode Island enrollment
65 clinicians in this Medicare group

NPI 1457772543 (401) 769-4100

Thundermist Health Center

0.5 mi

Federally Qualified Health Center (FQHC)

777 CASS AVE, HIGH SCHOOL HEALTH CLINIC
Woonsocket, RI 02895

Reassigned Medicare billing, Rhode Island enrollment
288 clinicians in this Medicare group

NPI 1801152947 (401) 767-4100

Banner Health Physicians Colorado LLC

1,603 mi

Multi-Specialty

1017 W 7TH ST
Wray, CO 80758

Reassigned Medicare billing, Colorado enrollment
324 clinicians in this Medicare group

NPI 1306185699 (970) 332-2225

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 02895 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

CHARLES J KIM MD

Anesthesiology