Individual provider Active NPI

Mary Elizabeth Gomez, MD

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1306367008
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
69151 Issued in AZ
Practice address
1628 N Alvernon Way
Tucson, AZ 85712-3321
Phone
(520) 325-8000
Fax
(520) 325-8616
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X BP10060930 TX
Pediatrics Physician 208000000X 69151 AZ Primary

Addresses

Primary practice location

1628 N Alvernon Way
Tucson, AZ 85712-3321

Mailing address

4801 E Broadway Blvd Ste 251
Tucson, AZ 85711-2700
Phone (520) 327-0460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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
I20200721001938 TX Practitioner - Pediatric Medicine 8325462591 Reassigns benefits to 1 organization
I20240605003463 AZ Practitioner - Pediatric Medicine 8325462591 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69151AZMDPediatrics Physician
BP10060930TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physician PC CurrentSince Jul 15, 2024 Accepting new patients
Arizona Community Physicians PC Family Medicine CurrentSince Jul 15, 2024 Accepting new patients
Utmb Faculty Group Practice Pediatrics CurrentSince Jul 9, 2020 Accepting new patients
Tucson Medical Center Past Accepting new patients
University of Texas Medical Branch at Galveston PastSince Jul 9, 2020 Accepting new patients
Pediatrics GPS, Inc Pediatrics Past Accepting new patients
Al Shaafi Medical PC Pediatrics Past Accepting new patients

Locations

1628 N Alvernon Way
Tucson, AZ 85712
Phone (520) 321-3566

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

6416 Broadway St
Galveston, TX 77551
Phone (409) 744-5437

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

Interoperability endpoints

  • Direct secure messaging: mgomez31823@direct.utmb.edu
  • Direct secure messaging: mgomez21198@azacp.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1306367008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E BROADWAY BLVD STE 251",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112700",
            "telephone_number": "520-327-0460",
            "fax_number": "520-226-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123321",
            "telephone_number": "520-325-8000",
            "fax_number": "520-325-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10060930",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "69151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.