GONZAGA PEDIATRICS AND FAMILY MEDICINE
NPI 1356684302
Pediatrics in Lavale, MD

Active since March 28, 2013
957 NATIONAL HWY, LAVALE, MD 21502(301) 729-9475(301) 729-9474 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2023, Oct 30, 2019 (2 updates tracked since 2019).

About Gonzaga Pediatrics And Family Medicine NPPES

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

GONZAGA PEDIATRICS AND FAMILY MEDICINE (NPI 1356684302) is a healthcare organization registered as a pediatrics in Lavale, Maryland and active in the NPI registry since March 2013. The organization lists Rommel Gonzaga, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356684302
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameROSARIO GONZAGA, MD PA
Location Address957 NATIONAL HWYLavale, MD 21502
Mailing Address957 National HwyLavale, MD 21502 · (301) 729-9475 · Fax (301) 729-9474
Fax(301) 729-9474
Organization SubpartNo
Authorized OfficialRommel GonzagaCeo · (301) 729-9475
Enumeration DateMarch 28, 2013
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1356684302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D22277
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X · License D39811 (MD)
957 NATIONAL HWY, Lavale, MD 21502

Other Names 1

Doing Business AsGonzaga Pediatrics And Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gonzaga Pediatrics And Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gonzaga Pediatrics And Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pediatric Medicine
NPI 1184627457
957 NATIONAL HWY
Lavale, MD 21502
(301) 729-9475
✔ PECOS✔ Accepts MedicareSame address

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

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 Rosario Gonzaga, MD PA's NPI number?

The NPI number for Rosario Gonzaga, MD PA is 1356684302. It was assigned to this organization in the NPPES registry on March 28, 2013. The provider is doing business as Gonzaga Pediatrics And Family Medicine.

Where is Rosario Gonzaga, MD PA located?

Rosario Gonzaga, MD PA is located at 957 National Hwy, Lavale, MD 21502. The listed phone number is (301) 729-9475.

What is Rosario Gonzaga, MD PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rosario Gonzaga, MD PA enrolled in Medicare?

Yes. Rosario Gonzaga, MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rosario Gonzaga, MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Rosario Gonzaga, MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rosario Gonzaga, MD PA was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.