Individual provider Active NPI

Emilio J Gomez-Madrazo, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • South Miami, FL
National Provider Identifier
1033174644
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
ME67905 Issued in FL
Practice address
6280 Sunset Dr Ste 408
South Miami, FL 33143-4860
Phone
(305) 441-7999
Fax
(305) 441-8020
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME67905 FL
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X ME67905 FL Primary

Addresses

Primary practice location

6280 Sunset Dr Ste 408
South Miami, FL 33143-4860

Mailing address

6280 Sunset Dr Ste 408
South Miami, FL 33143-4860
Phone (305) 441-7999

Other identifiers 2

IdentifierTypeStateIssuer
250913000MedicaidFL
BC538OtherFLMEDICARE ID

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
I20070206000528 FL Practitioner - Obstetrics/Gynecology 5991707812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1960
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

6280 Sunset Dr
Suite 408
South Miami, FL 33143-4860
Phone (305) 441-7999

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FWC Urogynecology, LLC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Apr 5, 2015 Accepting new patients
Florida Woman Care, LLC Urogynecology and Reconstructive Pelvic Surgery CurrentSince May 13, 2013 Accepting new patients
Recinto de Ciencias Medicas Gynecology Past Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

11760 SW 40th St
Ste 529
Miami, FL 33175
Phone (305) 220-3636

21110 Biscayne Blvd
Ste 312
Miami, FL 33180
Phone (305) 933-3030

32801 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 724-1966

6280 Sunset Dr
Ste 408
South Miami, FL 33143
Phone (305) 441-7999

7000 SW 62nd Ave
South Miami, FL 33143
Phone (305) 665-2060

Interoperability endpoints

  • Direct secure messaging: emilio.gomez-madrazo.1@2183.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1033174644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 SUNSET DR STE 408",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434860",
            "telephone_number": "305-441-7999",
            "fax_number": "305-441-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 SUNSET DR STE 408",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434860",
            "telephone_number": "305-441-7999",
            "fax_number": "305-441-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-MADRAZO",
        "first_name": "EMILIO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME67905",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME67905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250913000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "BC538",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.