Michael J Gomez, MD, PA

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

ME94251 Issued in FL

Practice address

8925 SW 148TH St Ste 110
Village of Palmetto Bay, FL 33176-8000

Phone

(786) 573-4470

Fax

(305) 969-1699

NPI assigned

Mar 26, 2007

Last updated

Mar 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

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

• Criticare Clinics Inc

  • Emergency Medicine Physician
  • Miami Lakes, FL
  • NPI 1508871948

  Clinic/Center

  Medicare reassignment NPD
• Michael J Gomez MD PA

  • Specialist
  • Village of Palmetto Bay, FL
  • NPI 1740420959
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1194843722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 SW 45 TERRACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-742-7767",
            "fax_number": "305-969-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 SW 148TH ST STE 110",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331768000",
            "telephone_number": "786-573-4470",
            "fax_number": "305-969-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME94251",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME94251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Flicker, MD
• Florida Health Care Systems Inc. of Miami
• Claudia Fritz
• Lisa Galvez
• Norman Goldberg, MD
• Jose Armando Gonzalez
• Jeanne Chatham Gottlieb, ARNP
• Karl Walter Green, M.D.
• Patrice Greenwald
• Mitchell Gregg, M.D.

• Pediatric Adolescent Medicine Physician in Village of Palmetto Bay, FL
• Providers in Village of Palmetto Bay, FL by specialty
• Pediatric Adolescent Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.