Individual provider Active NPI

Andres Jimenez Gomez, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Houston, TX
National Provider Identifier
1245594779
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME137760 Issued in FL
Practice address
7200 Cambridge St
Houston, TX 77030
Phone
(713) 798-2400
NPI assigned
Jun 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurodevelopmental Disabilities Physician 2084P0005X NA TX
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X ME137760 FL Primary

Addresses

Primary practice location

7200 Cambridge St
Houston, TX 77030

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

1951 SW 172nd Ave Ste 415
Miramar, FL 33029
Phone (954) 265-2423

Other practice location 2

1150 N 35th Ave Ste 520
Hollywood, FL 33021-5431
Phone (954) 265-2423

Other identifiers 1

IdentifierTypeStateIssuer
103285700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajimenezgomez215486@MHSDIRECT.NET Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20190808004073 FL Practitioner - NeurologyPractitioner - Pediatric Medicine 2961739263 Reassigns benefits to 1 organization
I20250113002898 TX Practitioner - Neurology 2961739263 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians
Texas Childrens Physician GroupGroup PAC ID 4385722081, 661 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1502 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-4900

6651 Main St
Houston, TX 77030-2351
Phone (832) 826-3000

7200 Cambridge St
Houston, TX 77030-4202

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jan 3, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Jan 3, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Jan 3, 2025 Accepting new patients
Texas Children's Physician Group CurrentSince Jan 9, 2025 Accepting new patients
South Broward Hospital District Neurology With Special Qualifications in Child Neurology CurrentSince Jul 5, 2019 Accepting new patients
South Broward Hospital District CurrentSince Jul 5, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Jan 3, 2025 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

1150 N 35th Ave
Ste 520
Hollywood, FL 33021
Phone (954) 265-2423

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

1951 SW 172nd Ave
Ste 415
Miramar, FL 33029
Phone (954) 265-2423

3333 Burnet Ave
#5012
Cincinnati, OH 45229
Phone (513) 636-4315

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

7200 Cambridge St
Houston, TX 77030
Phone (713) 798-2400

1502 Taub Loop
Houston, TX 77030
Phone (713) 873-4900

7200 Cambridge St
Fl 9
Houston, TX 77030
Phone (713) 798-2273

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

2525 Holly Hall St
#A
Houston, TX 77054
Phone (713) 526-4243

17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Interoperability endpoints

  • Direct secure messaging: ajimenezgomez215486@mhsdirect.net

Organizations & group practices 8

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1245594779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CAMBRIDGE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-798-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 SW 172nd Ave Ste 415",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "33029",
            "country_code": "US",
            "telephone_number": "954-265-2423",
            "fax_number": "954-961-4860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 N 35th Ave Ste 520",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215431",
            "country_code": "US",
            "telephone_number": "954-265-2423",
            "fax_number": "954-961-4860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ GOMEZ",
        "first_name": "ANDRES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "TX",
            "license": "NA",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME137760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103285700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajimenezgomez215486@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1150 N 35th Ave Ste 520",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.