LUISITO C. GONZALES M.D. – NPI #1164425997
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

LUISITO GONZALES is a physician located in ELKHART, IN. NPPES has assigned the NPI number 1164425997 to LUISITO GONZALES on May 24, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 10 years ago on Mar 16, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUISITO GONZALES below.

NPI Profile for
LUISITO C. GONZALES

NPI Number
1164425997
Enumeration Date

(more than 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LUISITO C. GONZALES
Credentials
M.D.
Primary location
303 S NAPPANEE ST
SUITE A
ELKHART, IN 46514-2066
Phone: (574) 296-3338 Fax: (574) 296-3332
Mailing address
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone: (574) 647-1610 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for LUISITO GONZALES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERANTHEM BCBSIN000000691249
OTHERBCBS ELKHART CARDIOLOGYIN000000851248
OTHERRR MEDICAREINP01317343
MEDICAIDIN200138970
MEDICAIDIN200148970
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
IN 01046919A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LUISITO GONZALES is affiliated with the following medical group(s):
  • HOSPITAL
    • ELKHART GENERAL HOSPITAL
      600 E BLVD
      ELKHART, IN 46514
    • GOSHEN HOSPITAL
      200 HIGH PARK AVE
      GOSHEN, IN 46526

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