Active NPI
Roberto Ariel Gomez, M.D.
- Pediatric Nephrology Physician
- Charlottesville, VA
National Provider Identifier
1386764025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- 0101036444
- Practice address
- 2ND Lee St
Charlottesville, VA 22908-0001 - Phone
- (434) 924-2096
- Fax
- (434) 982-4328
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | 0101036444 | VA | Primary |
Addresses
Primary practice location
2ND Lee St
Charlottesville, VA 22908-0001
Mailing address
500 Ray C Hunt Dr
Charlottesville, VA 22903-2981
Phone (434) 980-6140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6703577 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386764025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 RAY C HUNT DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229032981",
"telephone_number": "434-980-6140",
"fax_number": "434-972-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2ND LEE ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080001",
"telephone_number": "434-924-2096",
"fax_number": "434-982-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "ROBERTO",
"middle_name": "ARIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "VA",
"license": "0101036444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6703577",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.