DR. RODOLFO HECTOR GONZALEZ M.D.
NPI 1508955964
Specialist in Reston, VA

Q: What is Rodolfo Gonzalez's NPI number?

The NPI number for Rodolfo Gonzalez is 1508955964. It was assigned to this individual provider in the NPPES registry on October 12, 2006. The provider is also known as Dr. Rodolfo Hector Gonzalez M.D..

Q: What is Rodolfo Gonzalez's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Rodolfo Gonzalez was last updated on November 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 October 12, 2006PECOS Enrolled

1860 TOWN CENTER DR, STE 350, RESTON, VA 20190(703) 435-8256(703) 435-3337 Get Directions Write a Review

NPPES record last updated: November 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Rodolfo Hector Gonzalez M.d. NPPES

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

DR. RODOLFO HECTOR GONZALEZ M.D. (NPI 1508955964) is an individual specialist in Reston, Virginia, licensed in Virginia (0101222040) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508955964

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. RODOLFO HECTOR GONZALEZCredential: M.D.

Location Address1860 TOWN CENTER DR, STE 350Reston, VA 20190-5896

Mailing Address1860 Town Center Dr, Ste 350Reston, VA 20190-5896 · (703) 435-8256 · Fax (703) 435-3337

Phone(703) 435-8256

Fax(703) 435-3337

Sole ProprietorYes

Enumeration DateOctober 12, 2006

Last NPPES UpdateNovember 8, 2007

✔ NPI 1508955964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in VA · 0101222040

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1860 TOWN CENTER DR, Reston, VA 20190

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Other Names 1

Professional Name (2)Dr. Rodolfo Hector Gonzalez M.d.

Other Identifiers 3

Other1003953928VA · Npi Corporation

Medicare ID-Type Unspecified491547VA · Provider Number

Medicare UPINI03144VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rodolfo Hector Gonzalez M.d. 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.

Medicare Billing Reassignments

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

Chantilly Wellness Group, LLC

7.0 mi

Pediatrics

4200A TECHNOLOGY CT
Chantilly, VA 20151

Reassigned Medicare billing, District of Columbia enrollment

NPI 1992541890 (540) 709-1737

Inova Health Care Services

9.1 mi

Multi-Specialty

2740 PROSPERITY AVE STE 200
Fairfax, VA 22031

Reassigned Medicare billing, District of Columbia enrollment
2,618 clinicians in this Medicare group

NPI 1669511051 (703) 321-2600

Fauquier Physician Practices LLC

29 mi

Internal Medicine

550 HOSPITAL DR
Warrenton, VA 20186

Reassigned Medicare billing, Virginia enrollment
111 clinicians in this Medicare group

NPI 1770916983 (540) 316-5940

Derocco Health And Wellness Inc

Midwife

4200A TECHNOLOGY CT
Chantilly, VA 20151

Reassigned Medicare billing, District of Columbia enrollment

NPI 1811733710 (540) 709-1737

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

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.

RODOLFO H GONZALEZ MD. PC

Specialist

1860 TOWN CENTER DR, SUITE 350
RESTON, VA 20190

Fairfax County (703) 435-8256

GABRIELLE PHAM-CHE DPT

Physical Therapist (Orthopedic)

1860 TOWN CENTER DR
RESTON, VA 20190

Fairfax County (703) 483-4684

JANET AVERY MD PLC

Internal Medicine

1860 TOWN CENTER DR, SUITE 310
RESTON, VA 20190

Fairfax County (703) 481-5907

NATALIE COLLEEN BURNETT DRUMMOND DPT

Physical Therapist

1860 TOWN CENTER DR, SUITE 300
RESTON, VA 20190

Fairfax County (703) 483-4650

JASON MICHAEL OLIVER PTA

Physical Therapy Assistant

1860 TOWN CENTER DR, SUITE 300
RESTON, VA 20190

Fairfax County (703) 483-4684

LINDA JOHNSON RNFA

Registered Nurse (Registered Nurse First Assistant)

1860 TOWN CENTER DR, SUITE 300
RESTON, VA 20190

Fairfax County (703) 435-6604

JEFFREY HOWARD BERG M.D.

Orthopaedic Surgery (Sports Medicine)

1860 TOWN CENTER DR, SUITE 300
RESTON, VA 20190

Fairfax County (703) 435-6604

MAARIJ INC

Psychiatry & Neurology (Neurology)

1860 TOWN CENTER DR, SUITE 320
RESTON, VA 20190

Fairfax County (703) 348-7207

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 Rodolfo Gonzalez's NPI number?

The NPI number for Rodolfo Gonzalez is 1508955964. It was assigned to this individual provider in the NPPES registry on October 12, 2006. The provider is also known as Dr. Rodolfo Hector Gonzalez M.D..

Where is Rodolfo Gonzalez located?

Rodolfo Gonzalez practices at 1860 Town Center Dr Ste 350, Reston, VA 20190. The listed phone number is (703) 435-8256.

What is Rodolfo Gonzalez's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Rodolfo Gonzalez enrolled in Medicare?

Yes. Rodolfo Gonzalez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rodolfo Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodolfo Gonzalez reassigns Medicare benefits to 4 organizations: Chantilly Wellness Group, LLC (Chantilly, VA), Inova Health Care Services (Fairfax, VA), Fauquier Physician Practices LLC (Warrenton, VA) and Derocco Health And Wellness Inc (Chantilly, VA). 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 Rodolfo Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rodolfo Gonzalez was last updated on November 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.