NPIMap

Individual provider Active NPI

Felipe De Jesus Gomez, MD

  • Family Medicine Physician
  • Mission, TX
National Provider Identifier
1003934365
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J4825 Issued in TX
Practice address
1605 E Interstate Highway 2
Ste D
Mission, TX 78572-6607
Phone
(956) 362-3520
Fax
(956) 362-3529
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J4825 TX Primary

Addresses

Primary practice location

1605 E Interstate Highway 2
Ste D
Mission, TX 78572-6607

Mailing address

1605 E Interstate Highway 2 Ste D
Mission, TX 78572-6607
Phone (956) 585-1564

Other identifiers 3

IdentifierTypeStateIssuer
115387608MedicaidTX
115387609OtherTXMEDICAID-CSHCN
84170XOtherTXBCBS INDIVIDUAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000458 TX Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 7517916380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1605 E Expwy
83 Suite D
Mission, TX 78572-6607
Phone (956) 585-1564

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Specialists Medical Center PA Family Medicine CurrentSince Jan 18, 1999 Accepting new patients
Mission Doctors Group Family Medicine PastSince Oct 18, 2021 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
Renaissance Emergency Physicians,PA Past Accepting new patients
David Gomez M D PLLC PastSince Mar 9, 2020 Accepting new patients

Locations

1001 S 10th St
Ste G
McAllen, TX 78501
Phone (956) 867-0057

Interoperability endpoints

  • Direct secure messaging: felipe.gomez.escandon.1@15119.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003934365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E INTERSTATE HIGHWAY 2 STE D",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726607",
            "telephone_number": "956-585-1564",
            "fax_number": "956-585-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E INTERSTATE HIGHWAY 2",
            "address_2": "STE D",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726607",
            "telephone_number": "956-362-3520",
            "fax_number": "956-362-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "FELIPE",
        "middle_name": "DE JESUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-03-07",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115387608",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-CSHCN",
            "identifier": "115387609",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "84170X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.