Miguel Gonzales M D Prof Corp
NPI 1053464602 · Internal Medicine Physician · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Miguel Gonzales M D Prof Corp is a Internal Medicine Physician organization in Las Vegas, NV (NPI 1053464602).
Provider details
- NPI number
- 1053464602
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Miguel Gonzalez, President(702) 233-3191
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2010-06-23
Frequently asked questions
- What is Miguel Gonzales M D Prof Corp's NPI number?
- Miguel Gonzales M D Prof Corp's National Provider Identifier (NPI) is 1053464602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Miguel Gonzales M D Prof Corp?
- Miguel Gonzales M D Prof Corp is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Miguel Gonzales M D Prof Corp located?
- Miguel Gonzales M D Prof Corp's practice location on file with NPPES is 9030 W Sahara Ave # 260, Las Vegas, NV 89117-5744.
- What is Miguel Gonzales M D Prof Corp's phone number?
- The practice phone number listed in the NPPES registry for Miguel Gonzales M D Prof Corp is (702) 321-5293.
- Does Miguel Gonzales M D Prof Corp accept Medicare?
- Miguel Gonzales M D Prof Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Miguel Gonzales M D Prof Corp?
- The authorized official listed on Miguel Gonzales M D Prof Corp's NPPES record is Miguel Gonzalez, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Miguel Gonzales M D Prof Corp's NPI active?
- Yes — Miguel Gonzales M D Prof Corp's NPI (1053464602) is active in the NPPES registry as of the last update on 2010-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.