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DR. SUSAN V. GONZALES M.D.
NPI 1952387052
Internal Medicine in Cincinnati, OH

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1525 ELM STREET, ELM STREET HEALTH CENTER, CINCINNATI, OH 45202(513) 352-3092(513) 352-1429 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan V. Gonzales M.d. NPPES

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

DR. SUSAN V. GONZALES M.D. (NPI 1952387052) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35074826) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1952387052
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUSAN V. GONZALESCredential: M.D.
Location Address1525 ELM STREET, ELM STREET HEALTH CENTERCincinnati, OH 45202-6957
Mailing Address3101 Burnet AveCincinnati, OH 45229-3014 · (513) 357-7289 · Fax (513) 357-7396
Phone(513) 352-3092
Fax(513) 352-1429
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 20, 2005
Last NPPES UpdateJune 29, 2015
✔ NPI 1952387052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35074826
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 35.074826 (OH)
1525 ELM STREET, Cincinnati, OH 45202
Open in Google Maps ↗

Other Identifiers 5

Medicare UPING98171
Medicare PIN0879585OH
Medicare ID-Type UnspecifiedG02023721
Medicaid2142676OH
Medicare PIN0879586OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Susan V. Gonzales 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 ID2769574961
PECOS Enrollment IDI20070817000219
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

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.

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.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45202 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

MRS. ELIZABETH H BOBST CNP
Nurse Practitioner (Family)
1525 ELM STREET
CINCINATI, OH 45202
Hamilton County (513) 352-3092

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 Susan Gonzales's NPI number?

The NPI number for Susan Gonzales is 1952387052. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Susan Gonzales located?

Susan Gonzales practices at 1525 Elm Street Elm Street Health Center, Cincinnati, OH 45202. The listed phone number is (513) 352-3092.

What is Susan Gonzales's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Susan Gonzales enrolled in Medicare?

Yes. Susan Gonzales 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 Susan Gonzales accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Susan Gonzales 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 Susan Gonzales affiliated with any hospitals?

According to CMS data, Susan Gonzales is affiliated with Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Susan Gonzales was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.