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ALFONSO I GONZALEZ MD PA
NPI 1841459179
Family Medicine in Odessa, TX

Active since June 02, 2008
500 N WASHINGTON AVE, STE 600, ODESSA, TX 79761(432) 333-1300(432) 333-1306 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alfonso I Gonzalez Md Pa NPPES

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

ALFONSO I GONZALEZ MD PA (NPI 1841459179) is a healthcare organization registered as a family medicine in Odessa, Texas and active in the NPI registry since June 2008. The organization lists Alfonso I Gonzalez, Physician, as its authorized official.

NPPES Registry Identity

NPI1841459179
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALFONSO I GONZALEZ MD PA
Location Address500 N WASHINGTON AVE, STE 600Odessa, TX 79761-4401
Mailing Address500 N Washington Ave, Ste 600Odessa, TX 79761-4401 · (432) 333-1300 · Fax (432) 333-1306
Phone(432) 333-1300
Fax(432) 333-1306
Organization SubpartNo
Authorized OfficialAlfonso I GonzalezPhysician · (432) 333-1300
Enumeration DateJune 2, 2008
Last NPPES UpdateAugust 4, 2008
✔ NPI 1841459179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M3815
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License M3815 (TX)
500 N WASHINGTON AVE, Odessa, TX 79761
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Other Identifiers 3

Medicare PIN00Z350TX
Medicare UPINI47628TX
Other8W7325TX · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alfonso I Gonzalez Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20080723000661Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Alfonso I Gonzalez MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alfonso Gonzalez, M.D.
Family Practice
NPI 1386606721
501 BERNICE AVE
Odessa, TX 79763
(432) 333-1300
✔ PECOS✔ Accepts Medicare0.3 mi

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

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 Alfonso I Gonzalez MD PA's NPI number?

The NPI number for Alfonso I Gonzalez MD PA is 1841459179. It was assigned to this organization in the NPPES registry on June 2, 2008.

Where is Alfonso I Gonzalez MD PA located?

Alfonso I Gonzalez MD PA is located at 500 N Washington Ave Ste 600, Odessa, TX 79761. The listed phone number is (432) 333-1300.

What is Alfonso I Gonzalez MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alfonso I Gonzalez MD PA enrolled in Medicare?

Yes. Alfonso I Gonzalez MD PA is registered in the Medicare PECOS enrollment system.

When is Alfonso I Gonzalez MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Alfonso I Gonzalez MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Alfonso I Gonzalez MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Alfonso I Gonzalez MD PA was last updated on August 4, 2008. 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.