Individual provider Active NPI

Arturo Gamez, M.D

  • Pediatrics Physician
  • Port Saint Lucie, FL
National Provider Identifier
1386830479
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME 104786 Issued in FL
Practice address
2115 SE Lennard Rd
Port Saint Lucie, FL 34952-4742
Phone
(772) 335-1812
Fax
(772) 335-1825
NPI assigned
Sep 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME 104786 FL Primary

Addresses

Primary practice location

2115 SE Lennard Rd
Port Saint Lucie, FL 34952-4742

Mailing address

2115 SE Lennard Rd
Port Saint Lucie, FL 34952-4742
Phone (772) 335-1812

Other identifiers 1

IdentifierTypeStateIssuer
105013000MedicaidFL

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 104786FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anitha Jagadish M.D, PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e7eee8ee-10a0-491b-8be6-a8be12c18675/
  • Direct secure messaging: drgamez@tcp.opdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1386830479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SE LENNARD RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524742",
            "telephone_number": "772-335-1812",
            "fax_number": "772-335-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SE LENNARD RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524742",
            "telephone_number": "772-335-1812",
            "fax_number": "772-335-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMEZ",
        "first_name": "ARTURO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 104786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105013000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.