Individual provider Active NPI

Pablo Walter Gomez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Sugar Land, TX
National Provider Identifier
1275736753
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
M7218 Issued in TX
Practice address
16655 Southwest Freeway
Sugar Land, TX 77479-2329
Phone
(281) 274-7000
NPI assigned
Jun 11, 2007
Last updated
Aug 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M7218 TX Primary

Addresses

Primary practice location

16655 Southwest Freeway
Sugar Land, TX 77479-2329

Mailing address

P.O. Box 4701
Houston, TX 77210-4701
Phone (713) 441-1771

Other identifiers 1

IdentifierTypeStateIssuer
BP2-0019240OtherINSTITUTIONAL PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080906000130 TX Practitioner - Pathology 7911073481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Ponce School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18500 Katy Fwy
Houston, TX 77094-1110
Phone (832) 522-1000

6565 Fannin St
Houston, TX 77030-2703
Phone (713) 394-6450

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Pathology Associates PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2021 Accepting new patients
Methodist Pathology Associates PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2021 Accepting new patients
J S Wilkenfeld MD & Associates Anatomic Pathology & Clinical Pathology CurrentSince Sep 10, 2015 Accepting new patients
Wilkenfeld Medical Laboratories, I, LTD. Past Accepting new patients

Locations

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

6565 Fannin St
Stop 205
Houston, TX 77030
Phone (713) 394-6450

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 4

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 2

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1275736753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4701",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104701",
            "telephone_number": "713-441-1771",
            "fax_number": "713-793-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16655 SOUTHWEST FREEWAY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792329",
            "telephone_number": "281-274-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "PABLO",
        "middle_name": "WALTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "M7218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP2-0019240",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.