Gilda Haydee Gomez, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

M-2296 Issued in GU

Practice address

1060 W 10TH St
Rolla, MO 65401

Phone

(573) 364-9000

Fax

(573) 458-8445

NPI assigned

Aug 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GU, NM2 enrollments

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 2

Specialty

Hematology/Oncology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Masoud Khorsand- Sahbaie MD P aGroup PAC ID 8729068911, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063
• Artesia General Hospital Hospital, Artesia, NM, CCN 320030
• Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086
• Eastern New Mexico Medical Center Hospital, Roswell, NM, CCN 320006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gilda.gomez.p1@direct.kymeramedical.nextgenshare.com

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.

• Masoud Khorsand- Sahbaie MD P a

  • Hematology & Oncology Physician
  • Roswell, NM
  • NPI 1932187044
  Medicare reassignment Care Compare group NPD
• Guam Healthcare Development Incorporated

  • Clinic/Center
  • Dededo, GU
  • NPI 1326447939
  Medicare reassignment NPD
• Masoud Khorsand-Sahbaie, MD PA

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1194169011
  NPD
• Rio Bravo Cancer & Blood, P.a.

  • Medical Oncology Physician
  • Del Rio, TX
  • NPI 1205842747
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Artesia General Hospital

  • General Acute Care Hospital
  • Artesia, NM
  • NPI 1437286044
  Care Compare affiliation
• Carlsbad Medical Center LLC

  • Rehabilitation Hospital Unit
  • Carlsbad, NM
  • NPI 1114949781
  Care Compare affiliation
• Carlsbad Medical Center LLC

  • General Acute Care Hospital
  • Carlsbad, NM
  • NPI 1790722346
  Care Compare affiliation
• Lovelace Health System LLC

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1972878361
  Care Compare affiliation
• Roswell Hospital Corporation

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1447221742
  Care Compare affiliation

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1235321753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012905",
            "telephone_number": "573-364-9000",
            "fax_number": "573-458-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "65401",
            "telephone_number": "573-364-9000",
            "fax_number": "573-458-8445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 1st St",
            "address_2": "Suite 8",
            "address_purpose": "LOCATION",
            "city": "Kennett",
            "state": "MO",
            "postal_code": "638572527",
            "country_code": "US",
            "telephone_number": "573-888-2900",
            "fax_number": "573-888-2906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1231 1st St",
            "address_2": "Suite 8",
            "address_purpose": "LOCATION",
            "city": "Kennett",
            "state": "MO",
            "postal_code": "638572527",
            "country_code": "US",
            "telephone_number": "573-888-2900",
            "fax_number": "573-888-2906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "GILDA",
        "middle_name": "HAYDEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GU",
            "license": "EMTL-2021-034",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2009005169",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "M7999",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GU",
            "license": "M-2296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in Rolla, MO
• Providers in Rolla, MO by specialty
• Hematology & Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.