Individual provider Active NPI

Andres Felipe Gomez Aunca, PA-C

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1053955138
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9112883 Issued in FL
Practice address
1215 S East Ave Ste 301
Sarasota, FL 34239-2342
Phone
(941) 827-0701
NPI assigned
Nov 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9112883 FL Primary

Addresses

Primary practice location

1215 S East Ave Ste 301
Sarasota, FL 34239-2342

Mailing address

3325 27TH St W
Bradenton, FL 34205-3620
Phone (941) 565-9386

Other practice location 1

5717 21st ave w
bradenton, FL 34209
Phone (941) 792-8383

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616002726 FL Practitioner - Physician Assistant 2961824156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

1215 S E Ave
Suite 301
Sarasota, FL 34239-2342
Phone (941) 827-0701

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958-4879
Phone (727) 617-1777

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9112883FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: andres.gomez.1@8042.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1053955138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 27TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342053620",
            "telephone_number": "941-565-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S EAST AVE STE 301",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392342",
            "telephone_number": "941-827-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5717 21st ave w",
            "address_purpose": "LOCATION",
            "city": "bradenton",
            "state": "FL",
            "postal_code": "34209",
            "country_code": "US",
            "telephone_number": "941-792-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ AUNCA",
        "first_name": "ANDRES",
        "middle_name": "FELIPE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-01",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9112883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.