Individual provider Active NPI

Jose Edgardo Gamez, M.D

  • Psychiatry Physician
  • Hialeah, FL
National Provider Identifier
1134210271
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0057127 Issued in FL
Practice address
7100 West 20TH Avenue
Suite 503
Hialeah, FL 33016
Phone
(305) 820-3381
Fax
(305) 820-0937
NPI assigned
Sep 27, 2006
Last updated
Nov 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0057127 FL Primary

Addresses

Primary practice location

7100 West 20TH Avenue
Suite 503
Hialeah, FL 33016

Mailing address

7100 West 20TH Avenue
Suite 503
Hialeah, FL 33016
Phone (305) 820-3381

Other identifiers 1

IdentifierTypeStateIssuer
057209800MedicaidFL

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
I20110126000975 FL Practitioner - Psychiatry 6901085653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nova Psychiatry Group LLCGroup PAC ID 9830608017, 6 clinicians

Practice addresses (Care Compare)

11420 N Kendall Dr
Suite 207
Miami, FL 33176-1039
Phone (786) 715-9183

7100 W 20 Ave
Hialeah, FL 33016-1814
Phone (305) 820-3381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0057127FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose E Gamez MD PA CurrentSince Mar 31, 2003 Accepting new patients

Locations

7100 W 20th Ave
Ste 503
Hialeah, FL 33016
Phone (305) 820-3381

Networks

  • HealthSun Health Plans Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1134210271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 WEST 20TH AVENUE",
            "address_2": "SUITE 503",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-820-3381",
            "fax_number": "305-820-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 WEST 20TH AVENUE",
            "address_2": "SUITE 503",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-820-3381",
            "fax_number": "305-820-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMEZ",
        "first_name": "JOSE",
        "middle_name": "EDGARDO",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0057127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057209800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.