SHEYLA GONZALEZ MD
NPI 1457989451
Internal Medicine in Miami, FL

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
11045 SW 216TH, MIAMI, FL 33179(786) 429-1639 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2024, Aug 15, 2023, Oct 19, 2020 and 1 more (4 updates tracked since 2020).

About Sheyla Gonzalez Md NPPES

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

SHEYLA GONZALEZ MD (NPI 1457989451) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME159338) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457989451
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHEYLA GONZALEZCredential: MD
Location Address11045 SW 216THMiami, FL 33179
Mailing Address11045 Sw 216thMiami, FL 33170
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateMay 13, 20244 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1457989451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME159338
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11045 SW 216TH, Miami, FL 33179

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sheyla Gonzalez Md 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 ID648691543
PECOS Enrollment IDI20230608003345
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

4

Medicare enrollment records show Sheyla Gonzalez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
11045 SW 216 ST
Miami, FL 33170
  • Reassigned Medicare billing, Florida enrollment
Internal Medicine
6200 SW 73RD ST, BOX 69
South Miami, FL 33143
  • Reassigned Medicare billing, Florida enrollment
  • 92 clinicians in this Medicare group
Internal Medicine
160 NW 170TH ST
North Miami Beach, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Oak Grove Physician Services PA
  • 119 clinicians in this Medicare group
Internal Medicine
1525 OXFORD LN
Naperville, IL 60565
  • Reassigned Medicare billing, Florida enrollment
  • 390 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33179 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 Sheyla Gonzalez's NPI number?

The NPI number for Sheyla Gonzalez is 1457989451. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Sheyla Gonzalez located?

Sheyla Gonzalez practices at 11045 SW 216th, Miami, FL 33179. The listed phone number is (786) 429-1639.

What is Sheyla Gonzalez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sheyla Gonzalez enrolled in Medicare?

Yes. Sheyla Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sheyla Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheyla Gonzalez reassigns Medicare benefits to 4 organizations: Nel & Shey Medical Center And Research (Miami, FL), South Miami Inpatient Physicians (South Miami, FL), Oak Grove Physician Services, P.A. (North Miami Beach, FL) and First Docs PC (Naperville, IL). Each 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 Sheyla Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheyla Gonzalez accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Sheyla Gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheyla Gonzalez was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.