Individual provider Active NPI

Nelson A Gomez, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Brandon, FL
National Provider Identifier
1013949544
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
228950 Issued in MA
Practice address
910 Oakfield Dr
Brandon, FL 33511-4936
Phone
(813) 681-4413
Fax
(813) 684-7299
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 228950 MA Primary

Addresses

Primary practice location

910 Oakfield Dr
Brandon, FL 33511-4936

Mailing address

910 Oakfield Dr
Brandon, FL 33511-4936
Phone (813) 681-4413

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091002000230 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 0941367783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Associates of Brandon PAGroup PAC ID 4385626837, 5 clinicians

Practice addresses (Care Compare)

910 Oakfield Dr
Suite 102
Brandon, FL 33511-4925
Phone (813) 681-4413

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • HCA Florida South Shore Hospital Hospital, Sun City Center, FL, CCN 100259
  • Sun Terrace Health Care Center Nursing home, Sun City Center, FL, CCN 105319

Merit-based Incentive Payment System (MIPS)

Final score
87.46 of 100Reported as group
Quality
79.22
Improvement activities
40
Cost
73.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of Brandon PA CurrentSince Jul 31, 2011 Accepting new patients
Raul Sierra MD PA Past Accepting new patients

Locations

910 Oakfield Dr
Brandon, FL 33511
Phone (813) 681-4413

910 Oakfield Dr
Ste 102
Brandon, FL 33511
Phone (813) 681-4413

1723 S Kings Ave
Brandon, FL 33511
Phone (813) 681-4413

720 Cortaro Dr
Sun City Ctr, FL 33573
Phone (813) 633-5513

Networks

  • Freedom Health HMO Network
  • FL PPO
  • Optimum HealthCare HMO Network
  • FL HMO

Interoperability endpoints

  • Direct secure messaging: nelson.gomez@pab.directbygreenway.com

Organizations & group practices 2

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 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1013949544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114936",
            "telephone_number": "813-681-4413",
            "fax_number": "813-684-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114936",
            "telephone_number": "813-681-4413",
            "fax_number": "813-684-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "NELSON",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "228950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.