Individual provider Active NPI

Jorge L Gomez, MD

  • Maternal & Fetal Medicine Physician
  • South Miami, FL
National Provider Identifier
1457374068
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME67794 Issued in FL
Practice address
6200 Sunset Dr
Suite 301
South Miami, FL 33143-4828
Phone
(305) 669-9521
Fax
(305) 669-9735
NPI assigned
Jul 25, 2006
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X ME67794 FL Primary

Addresses

Primary practice location

6200 Sunset Dr
Suite 301
South Miami, FL 33143-4828

Mailing address

6200 Sunset Drive
Suite 301
Miami, FL 33143-4829
Phone (305) 669-9521

Other identifiers 1

IdentifierTypeStateIssuer
252955600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgomez@sfpm.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041214000272 FL Practitioner - Obstetrics/Gynecology 4688630247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Florida Perinatal MedicineGroup PAC ID 8426014085, 2 clinicians

Practice addresses (Care Compare)

1100 NW 95 St
Miami, FL 33150-2038
Phone (305) 691-2180

6200 Sunset Dr
Suite 301
Miami, FL 33143-4829

925 NE 30 Terrace
Suite 100
Homestead, FL 33033-7614
Phone (305) 246-0040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Perinatal Medicine Specialist CurrentSince Jul 1, 2003 Accepting new patients

Locations

3107 Stirling Rd
Ste 106
Ft Lauderdale, FL 33312
Phone (305) 859-7809

777 E 25th St
Ste 402
Hialeah, FL 33013
Phone (305) 835-7909

925 NE 30th Ter
Ste 100
Homestead, FL 33033
Phone (305) 246-0040

11760 SW 40th St
Ste 329
Miami, FL 33175
Phone (305) 559-8519

1190 NW 95th St
Ste 204
Miami, FL 33150
Phone (305) 836-5053

4308 Alton Rd
Ste 730
Miami Beach, FL 33140
Phone (305) 403-1234

6200 Sunset Dr
Ste 301
South Miami, FL 33143
Phone (305) 669-9521

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1457374068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DRIVE",
            "address_2": "SUITE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434829",
            "telephone_number": "305-669-9521",
            "fax_number": "305-669-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR",
            "address_2": "SUITE 301",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434828",
            "telephone_number": "305-669-9521",
            "fax_number": "305-669-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME67794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252955600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgomez@sfpm.us",
            "affiliation": "N",
            "address_1": "6200 Sunset Dr",
            "address_2": "Suite 301",
            "city": "South Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331434828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.