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Dr. Diego De Jesus Gonzalez , MD

Pediatrics • Hazleton, PA

Active NPI 1104816875 Individual Practitioner Male Practitioner
Practice location in NPPES

564 W Broad St
Hazleton, PA 182016108

Call 4848844500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

564 W Broad St

Hazleton, PA 182016108

Telephone 4848844500
Organization at the Same NPPES Address or Phone
Lehigh Valley Physician Group Facility NPI 1942609599

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $43.88 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Gonzalez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Gonzalez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Hazleton and Pennsylvania

9 active clinicians are listed under Pediatrics with a practice address in Hazleton, PA (3,383 in Pennsylvania).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $43.88.

Manufacturer Payment Nature Product Type Amount ($)
Abbott Laboratories
Food and Beverage
In-kind items and services
MITRACLIP General $43.88

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES PA MD040959L

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20220921002507

Enrollment State Jurisdiction

PA

PECOS Control ID

6103090303

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Emily Barbella , PA-C

Physician Assistant - Surgical

NPI 1215695457

Physician Assistant (Certified)

Dr. Kevin Fogarty , MD

Radiology - Diagnostic Radiology

NPI 1245221506

Doctor of Medicine (M.D.)

NPI 1487849519

Doctor of Medicine (M.D.)

NPI 1326308610

Doctor of Medicine (M.D.)

Emily Harris , PA

Physician Assistant - Medical

NPI 1457622664

Physician Assistant

Dr. Carol Ishak , MD

Anesthesiology

NPI 1710942743

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
📍
Updated Practice Location October 04, 2024

Registered at 564 W BROAD ST, HAZLETON, PA 182016108 (Tel: 4848844500)

📍
Updated Business Mailing Address October 04, 2024

Registered at 2100 MACK BLVD, ALLENTOWN, PA 181035622 (Tel: 4848844500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2024

Pediatrics (license number reported to NPPES: PA MD040959L)

📍
Updated Practice Location May 05, 2022

Registered at 300 HIGHLAND AVE, HANOVER, PA 173312297 (Tel: 7173163711)

📍
Updated Business Mailing Address May 05, 2022

Registered at 300 HIGHLAND AVE, HANOVER, PA 173312297 (Tel: 7173163711)

👤
Provider Name / Credentials Updated May 05, 2022

Recorded as DIEGO GONZALEZ, MD

👤
Provider Name / Credentials Updated July 11, 2019

Recorded as DIEGO GONZALEZ PEREZ, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Pediatrics (license number reported to NPPES: NY 178652-1)

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 08, 2007

Registered at USA MEDDAC ATTN: CREDENTIALS, 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 136025004 (Tel: 3157724025)

📍
Business Mailing Address (Initial Record) July 08, 2007

Registered at USA MEDDAC ATTN: CREDENTIALS, 11050 MT BELVEDERE BLVD, FORT DRUM, NY 136025004 (Tel: 3157724025)

👤
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as DIEGO GONZALEZ, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (license number reported to NPPES: PA MD040959L)

🟢
Initial NPI Registration & Enumeration October 25, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104816875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2005
Last Update: October 04, 2024
Sole Proprietor: No

Other Pediatrics Specialists in Hazleton

Healthcare providers in Hazleton

Mailing Address

2100 Mack Blvd

Allentown, PA 181035622

Phone: 4848844500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.