Orlando Gomez, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS013116 Issued in PA

Practice address

49-4 Revere Rd
Drexel Hill, PA 19026-5331

Phone

(215) 620-6487

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Internal Medicine

Education

Nova Southeastern College of Osteo Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians

Haven Behavioral Services of Philadelphia, LLCGroup PAC ID 8426297433, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Haven Behavioral Services of Philadelphia, LLC

  • Psychiatric Hospital
  • Philadelphia, PA
  • NPI 1912341629
  Medicare reassignment Care Compare group NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Philadelphia, PA
  • NPI 1851620496
  Medicare reassignment Care Compare group NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Havertown, PA
  • NPI 1952630626
  NPD
• KND Development 59, LLC

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD
• Eastwick Pharmacy Care

  • Internal Medicine Physician
  • Ahilo, PA
  • NPI 1851462824
  NPD (past)
• Eastwick Primary Care

  • Primary Care Clinic/Center
  • Phila, PA
  • NPI 1760580773
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1194748079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49-4 REVERE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49-4 REVERE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265331",
            "telephone_number": "215-620-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ORLANDO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS013116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B SHIELD BLUE CHOICE",
            "identifier": "1688546",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "088455R81",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDER HEALTH",
            "identifier": "14990",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7218638",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4670180001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2361142",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2361142000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Gibson, OTR/L
• Glover Clinic
• Michael Goldberg, D.O.
• Arianna Goldschmidt
• Joseph C Goldschmidt, MD
• Harold Gordon, MSW
• Marie E Graham, CRNP
• Maureen Nelaine Graham
• Sandra Graham
• Gail Graves

• Internal Medicine Physician in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.