Individual provider Active NPI

Amanda Marie Gomes, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Oklahoma City, OK
National Provider Identifier
1407902174
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
25844 Issued in OK
Practice address
3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone
(405) 949-3011
Fax
(405) 848-3210
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25844 OK
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 25844 OK Primary

Addresses

Primary practice location

3300 NW Expressway
Oklahoma City, OK 73112-4418

Mailing address

5300 N Independence Ave
Oklahoma City, OK 73112-5556
Phone (405) 949-3011

Other practice location 1

920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 73104-5036
Phone (405) 271-4351

Other names 1

  • Amanda Marie Russell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, NC2 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
I20120430000342 OK Practitioner - Anesthesiology 9739341249 Reassigns benefits to 10 organizations
I20241004001684 NC Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 9739341249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
University of Oklahoma College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians
Scotland Regional Health NetworkGroup PAC ID 2365573185, 67 clinicians
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 355-7328

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 277-9164

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25844OKMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jun 17, 2024 Accepting new patients
Healthfirst Physicians Management Services, Inc CurrentSince Mar 10, 2025 Accepting new patients
Scotland Regional Health Network CurrentSince Jan 24, 2025 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Feb 5, 2012 Accepting new patients
Trinity Regional Medical Center CurrentSince Jun 25, 2024 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince May 15, 2017 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Feb 5, 2012 Accepting new patients
Carolinas Medical Center CurrentSince Aug 19, 2024 Accepting new patients
Carle Health Care Incorporated Anesthesiology CurrentSince Jan 12, 2026 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Jun 25, 2024 Accepting new patients
Carolinas Medical Center CurrentSince Aug 19, 2024 Accepting new patients
Veeone Medical Group PA CurrentSince Dec 8, 2023 Accepting new patients
Scotland Regional Health Network CurrentSince Jan 24, 2025 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Trinity Medical Center CurrentSince Jun 25, 2024 Accepting new patients

Locations

1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

2730 Pierce St
Ste 401
Sioux City, IA 51104

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

1370 W D St
North Wilkesboro, NC 28659
Phone (336) 651-8100

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

920 Stanton L Young Blvd
#1140
Oklahoma City, OK 73104
Phone (405) 271-4515

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

5300 N Independence Ave
Oklahoma City, OK 73112
Phone (405) 945-4500

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053

7633 E 63rd Pl
Ste 300
Tulsa, OK 74133
Phone (888) 637-9669

Interoperability endpoints

  • Direct secure messaging: agomes1104164@direct.unitypoint.org
  • Direct secure messaging: agomes2900442@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: agomes529903@direct-ehr-ssmhc.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1407902174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "405-949-3011",
            "fax_number": "405-848-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124418",
            "telephone_number": "405-949-3011",
            "fax_number": "405-848-3210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Stanton L Young Blvd # Wp1140",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045036",
            "country_code": "US",
            "telephone_number": "405-271-4351",
            "fax_number": "405-271-8695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMES",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "25844",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "OK",
            "license": "25844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RUSSELL",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.