GABRIEL ISAZA GONZALEZ
NPI 1538510508
Dermatology in Philadelphia, PA
About Gabriel Isaza Gonzalez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GABRIEL ISAZA GONZALEZ (NPI 1538510508) is an individual dermatology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD471112) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Livonia, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Gabriel Isaza Gonzalez 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.
Medicare Billing Reassignments
2Medicare enrollment records show Gabriel Isaza Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19111
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,991 clinicians in this Medicare group
Philadelphia, PA 19128
- Reassigned Medicare billing, Pennsylvania enrollment
- 22 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 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
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 Gabriel Isaza Gonzalez's NPI number?
The NPI number for Gabriel Isaza Gonzalez is 1538510508. It was assigned to this individual provider in the NPPES registry on June 30, 2016.
Where is Gabriel Isaza Gonzalez located?
Gabriel Isaza Gonzalez practices at 333 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (215) 728-2191.
What is Gabriel Isaza Gonzalez's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Gabriel Isaza Gonzalez enrolled in Medicare?
Yes. Gabriel Isaza 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 Gabriel Isaza Gonzalez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gabriel Isaza Gonzalez reassigns Medicare benefits to 2 organizations: Temple Faculty Practice Plan, Inc (Philadelphia, PA) and Advanced Dermatology Of Pennsylvania, PC (Philadelphia, PA). 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 Gabriel Isaza 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 Gabriel Isaza Gonzalez was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Gabriel Isaza Gonzalez · NPI 1538510508
Dermatology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 30, 2016.
## Identity
- **NPI:** 1538510508 (Entity type: Individual)
- **Enumerated:** June 30, 2016
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** MD471112 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 COTTMAN AVE, Philadelphia, PA 19111-2434
- **Phone:** (215) 728-2191 · **Fax:** (215) 214-3992
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Temple Faculty Practice Plan, Inc (NPI 1093298887, Philadelphia, PA); Advanced Dermatology Of Pennsylvania, PC (NPI 1740671767, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** September 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1538510508) · Data from the CMS NPPES public registry.