Individual provider Active NPI

Claudia Elizabeth Gomez, MD

  • Pediatrics Physician
  • Abilene, TX
National Provider Identifier
1316301518
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S1600 Issued in TX
Practice address
1850 Hickory St Ste 102
Abilene, TX 79601-2334
Phone
(325) 677-2801
Fax
(325) 677-9110
NPI assigned
Apr 13, 2016
Last updated
May 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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
Pediatrics Physician 208000000X S1600 TX Primary

Addresses

Primary practice location

1850 Hickory St Ste 102
Abilene, TX 79601-2334

Mailing address

1850 Hickory St Ste 102
Abilene, TX 79601-2334
Phone (325) 677-2801

Other practice location 1

4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 215-8000

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
I20190727000108 TX Practitioner - Pediatric Medicine 9638405749 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Assn for Pediatrics Pediatrics CurrentSince Aug 1, 2019 Accepting new patients
Hendrick Medical Center Past Accepting new patients
Acs Primary Care Physicians Southwest, PA PastSince Aug 1, 2019 Accepting new patients

Locations

1850 Hickory St
Ste 102
Abilene, TX 79601
Phone (325) 677-2801

5302 Buffalo Gap Rd
Ste 100
Abilene, TX 79606
Phone (325) 677-2801

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1316301518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST STE 102",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012334",
            "telephone_number": "325-677-2801",
            "fax_number": "325-677-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST STE 102",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012334",
            "telephone_number": "325-677-2801",
            "fax_number": "325-677-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052709",
            "country_code": "US",
            "telephone_number": "915-215-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "CLAUDIA",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S1600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.