NPIMap

Individual provider Active NPI

Cody Ryon Gomez, M.D.

  • Internal Medicine Physician
  • Georgetown, TX
National Provider Identifier
1316357346
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R6012 Issued in TX
Practice address
3201 S Austin Ave
Suite 205
Georgetown, TX 78626-7545
Phone
(512) 763-4060
NPI assigned
Apr 29, 2014
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R6012 TX Primary

Addresses

Primary practice location

3201 S Austin Ave
Suite 205
Georgetown, TX 78626-7545

Mailing address

3614 Cornerstone St
Round Rock, TX 78681-3709
Phone (830) 857-4730

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CODY.GOMEZ@hca8.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190325002136 TX Practitioner - Internal Medicine 0547582256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Area Primary Care, PLLCGroup PAC ID 9537237482, 19 clinicians

Practice addresses (Care Compare)

3201 S Austin Ave
Suite 210
Georgetown, TX 78626-7639
Phone (512) 763-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.47 of 100Reported as individual
Quality
67.43
Promoting interoperability
99
Improvement activities
40
Cost
68.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6012TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Primary Care, PLLC CurrentSince Nov 3, 2018 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3201 S Austin Ave
Ste 205
Georgetown, TX 78626
Phone (512) 763-4060

3201 S Austin Ave
Ste 210
Georgetown, TX 78626
Phone (512) 763-4000

Interoperability endpoints

  • Direct secure messaging: 4164-gomezmd-cody@direct.leadingreach.com
  • Direct secure messaging: cody.gomez@hca8.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/3648/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 8

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1316357346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 CORNERSTONE ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813709",
            "telephone_number": "830-857-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE",
            "address_2": "SUITE 205",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267545",
            "telephone_number": "512-763-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "CODY",
        "middle_name": "RYON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R6012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CODY.GOMEZ@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3201 S Austin Ave",
            "address_2": "SUITE 205",
            "city": "Georgetown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786267545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.