DR. LUIS ALBERTO GONZALEZ MD NPI 1679660260

NPI Information

NPI: 1679660260
Provider Name: DR. LUIS ALBERTO GONZALEZ, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 3505 LAKE CITY HWY
WARSAW, IN
ZIP 46580
Phone: (574) 269-4144

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NPI Details

DR. Luis Alberto Gonzalez, MD is an obstetrics gynecology in Warsaw, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Luis Alberto Gonzalez, MD NPI is 1679660260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3505 LAKE CITY HWY
WARSAW, IN
ZIP 46580-942
Phone: (574) 269-4144
Fax: (574) 268-2281

The NPI 1679660260 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 10/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		01080663A	INDIANA	Yes
2	207V00000X	Obstetrics & Gynecology		4301054514	MICHIGAN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1603304641	OTHER	MICHIGAN	BCBS INDIVIDUAL PIN
2	2868162	MEDICAID	MICHIGAN
3	4288420	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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