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DR. JUAN M GONZALEZ MD
NPI 1598767253
Internal Medicine - Nephrology in Houston, TX

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
6560 FANNIN ST STE 1824, HOUSTON, TX 77030(713) 790-9080(713) 790-0766 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Apr 1, 2025 (2 updates tracked since 2025).

About Dr. Juan M Gonzalez Md NPPES

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

DR. JUAN M GONZALEZ MD (NPI 1598767253) is an individual nephrology provider in Houston, Texas, licensed in Texas (H4937) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1598767253
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JUAN M GONZALEZCredential: MD
Location Address6560 FANNIN ST STE 1824Houston, TX 77030-2735
Mailing Address6560 Fannin St Ste 1824Houston, TX 77030-2735 · (713) 790-9080 · Fax (713) 790-0766
Phone(713) 790-9080
Fax(713) 790-0766
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateAugust 12, 2005
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1598767253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · H4937
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
6560 FANNIN ST STE 1824, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 3

Medicaid134104201TX
Other390007310TX · Medicare Railroad
Other8637K1TX · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Juan M 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 ID4789648445
PECOS Enrollment IDI20110125000495
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
536 services114 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
434 services71 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
430 services196 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
37 services12 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
23 services12 patients
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.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670077
Location18500 Katy FreewayHouston, TX 77094 · Harris County
Emergency services Birthing friendly

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
76%49 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
78%1,837 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%1,376 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%28 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
92%273 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
17%749 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 77% · 616 patients
80%616 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
55%273 patients3/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 232 patients
1%232 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers52 claims2,295 services$1.57 avg. paid by Medicare
Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims780 services$1.72 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
5 suppliers85 claims57,030 services$1.19 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
73 suppliers760 claims80,268 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
32 suppliers352 claims80,525 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers36 claims6,660 services$0.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

DR. ABDUL JABBAR KHAN MD
Internal Medicine (Nephrology)
6560 FANNIN ST STE 1824
HOUSTON, TX 77030
Harris County (713) 790-9080
NEPHROLOGY DIALYSIS AND TRANSPLANTATION ASSOCIATES PA
Internal Medicine (Nephrology)
6560 FANNIN ST STE 1824
HOUSTON, TX 77030
Harris County (713) 790-9080
DR. GEORGE M NASSAR MD
Internal Medicine (Nephrology)
6560 FANNIN ST STE 1824
HOUSTON, TX 77030
Harris County (713) 790-9080
DR. EDWARD J RHEE MD
Internal Medicine (Nephrology)
6560 FANNIN ST STE 1824
HOUSTON, TX 77030
Harris County (713) 790-9080
DR. JOSLYN L CAMPBELL MD
Internal Medicine (Nephrology)
6560 FANNIN ST STE 1824
HOUSTON, TX 77030
Harris County (713) 790-9080

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 Juan Gonzalez's NPI number?

The NPI number for Juan Gonzalez is 1598767253. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Juan Gonzalez located?

Juan Gonzalez practices at 6560 Fannin St Ste 1824, Houston, TX 77030. The listed phone number is (713) 790-9080.

What is Juan Gonzalez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Juan Gonzalez enrolled in Medicare?

Yes. Juan 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.

What insurance does Juan Gonzalez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Juan 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.

Is Juan Gonzalez affiliated with any hospitals?

According to CMS data, Juan Gonzalez is affiliated with Houston Methodist Hospital, Houston Methodist Sugarland Hospital, Houston Methodist Willowbrook Hospital, Houston Methodist West Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Juan Gonzalez was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.