Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gonzalo De Taboada, PA-C

Individual provider Physician Assistant · NPI 1831458116

Mr. Gonzalo De Taboada, PA-C is a Physician Assistant in Colorado Springs, Colorado. Graduated from Baylor College of Medicine in 2017, 9 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
9
Trained at
Baylor College of Medicine
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1035 Garden Of The Gods Rd Ste 120
Colorado Springs, CO 80907-3416
Phone: (719) 365-3200
Fax: (719) 365-7680
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2767 Janitell Rd, Colorado Springs, CO 80906-4102 — (719) 365-2888
  • 1650 Cochrane Circle, Fort Carson, CO 80913-4604 — (719) 526-6315

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1831458116
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 8, 2012
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients69
Services billed 124 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Poudre Valley Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2416 clinicians in the practice; 12 are shown here.

Other providers in Colorado Springs