DR. LETICIA GONZALEZ M.D.
NPI 1356313720
Obstetrics & Gynecology in St Charles, IL

Q: What is Leticia Gonzalez's NPI number?

The NPI number for Leticia Gonzalez is 1356313720. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Q: What is Leticia Gonzalez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Leticia Gonzalez was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment

3310 W MAIN ST, SUITE 200, ST CHARLES, IL 60175(630) 897-6044(630) 897-0180 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Leticia Gonzalez M.d. NPPES

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

DR. LETICIA GONZALEZ M.D. (NPI 1356313720) is an individual obstetrics & gynecology provider in St Charles, Illinois, licensed in Illinois (036100864) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Macneal Hospital, and is a graduate of Illinois Medical College (1995).

NPPES Registry Identity

NPI1356313720

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. LETICIA GONZALEZCredential: M.D.

Location Address3310 W MAIN ST, SUITE 200St Charles, IL 60175-1000

Mailing AddressPo Box 657St Charles, IL 60174-0657 · (630) 897-6044 · Fax (630) 897-0180

Phone(630) 897-6044

Fax(630) 897-0180

Sole ProprietorNo

Medical School CMSIllinois Medical CollegeGraduated 1995

Enumeration DateFebruary 1, 2006

Last NPPES UpdateMay 19, 2022

NPPES CertifiedMay 19, 2022

✔ NPI 1356313720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036100864

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3310 W MAIN ST, St Charles, IL 60175

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Other Identifiers 1

Medicaid036100864IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Leticia Gonzalez M.d. 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 ID3375511553

PECOS Enrollment IDI20040924000518

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 2

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

Macneal Hospital

Acute Care Hospitals · Berwyn, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140054

Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County

Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140276

Location2160 S 1st AvenueMaywood, IL 60153 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60175 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

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 14

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

DR. WILLIAM H KOBAK M.D.

Obstetrics & Gynecology (Gynecology)