DR. MANUEL OCTAVIO GONZALEZ M.D.
NPI 1801193701
Internal Medicine - Gastroenterology in Hialeah, FL

Active since February 12, 2011PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
6050 W 20TH AVE FL 3, HIALEAH, FL 33016(786) 584-5555(786) 584-5050 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2021, Apr 9, 2020, Sep 21, 2018 (3 updates tracked since 2018).

About Dr. Manuel Octavio Gonzalez M.d. NPPES

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

DR. MANUEL OCTAVIO GONZALEZ M.D. (NPI 1801193701) is an individual gastroenterology provider in Hialeah, Florida, licensed in Florida (ME138174) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and maintains a secondary practice location in Miami Beach.

NPPES Registry Identity

NPI1801193701
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MANUEL OCTAVIO GONZALEZCredential: M.D.
Location Address6050 W 20TH AVE FL 3Hialeah, FL 33016-2605
Mailing Address6050 W 20th Ave Fl 3Hialeah, FL 33016-2605 · (786) 584-5555 · Fax (786) 584-5050
Fax(786) 584-5050
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 12, 2011
Last NPPES UpdateMay 5, 20213 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
NPI 1801193701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in FL · ME138174 Licensed in NY · 262848
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6050 W 20TH AVE FL 3, Hialeah, FL 33016

Secondary Practice Location 1

Location 14300 Alton Rd Ste 2522Miami Beach, FL 33140-2948 · Phone (305) 674-2240

Accepted 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. Manuel Octavio Gonzalez M.d. 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 ID2264609346
PECOS Enrollment IDI20190618002550
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 9

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.

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.
63 services36 patients
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.
43 services38 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
38 services38 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.
35 services34 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.
29 services22 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

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Orthopaedic Surgery
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Internal Medicine
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Nurse Practitioner (Family)
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Hospitalist
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Internal Medicine
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Nurse Practitioner (Acute Care)
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Internal Medicine (Cardiovascular Disease)
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Nurse Practitioner (Family)
6050 W 20TH AVE FL 3
HIALEAH, FL 33016

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 Manuel Gonzalez's NPI number?

The NPI number for Manuel Gonzalez is 1801193701. It was assigned to this individual provider in the NPPES registry on February 12, 2011.

Where is Manuel Gonzalez located?

Manuel Gonzalez practices at 6050 W 20th Ave Fl 3, Hialeah, FL 33016. The listed phone number is (786) 584-5555.

What is Manuel Gonzalez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Manuel Gonzalez enrolled in Medicare?

Yes. Manuel 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 Manuel Gonzalez accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Manuel 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 Manuel Gonzalez affiliated with any hospitals?

According to CMS data, Manuel Gonzalez is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Manuel Gonzalez was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.