Individual provider Active NPI

Jaime H Gomez, M.D.

  • Internal Medicine Physician
  • Abilene, TX
National Provider Identifier
1437296654
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H9956 Issued in TX
Practice address
4716 S 14TH St
Abilene, TX 79605-4733
Phone
(325) 232-8668
Fax
(325) 701-9970
NPI assigned
Jan 30, 2007
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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 H9956 TX Primary

Addresses

Primary practice location

4716 S 14TH St
Abilene, TX 79605-4733

Mailing address

4716 S 14TH St
Abilene, TX 79605-4733
Phone (325) 232-8668

Other practice location 1

3434 Swiss Ave
#310
Dallas, TX 75204-6251
Phone (214) 828-5050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jaime.gomez.1@15018.direct.athenahealth.com

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
I20101020001087 TX Practitioner - Internal Medicine 6901922749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

3409 Worth St
600 Baylor Scott and White Plastic and Recons S
Dallas, TX 75246-2042
Phone (972) 817-6170

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Aug 29, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 29, 2022 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients

Locations

3600 Gaston Ave
Ste 303
Dallas, TX 75246
Phone (214) 828-2889

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

Interoperability endpoints

  • Direct secure messaging: jaime.gomez.1@15018.direct.athenahealth.com
  • Direct secure messaging: jgomez224933@direct.sw.org

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.

Hospital & facility affiliations 3

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1437296654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 S 14TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054733",
            "telephone_number": "325-232-8668",
            "fax_number": "325-701-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 S 14TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054733",
            "telephone_number": "325-232-8668",
            "fax_number": "325-701-9970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 Swiss Ave",
            "address_2": "#310",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752046251",
            "country_code": "US",
            "telephone_number": "214-828-5050",
            "fax_number": "214-828-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JAIME",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H9956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaime.gomez.1@15018.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4716 S 14th St",
            "city": "Abilene",
            "state": "TX",
            "country_code": "US",
            "postal_code": "796054733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.