Individual provider Active NPI

Rene J Gomez, MD

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1457390486
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME20305 Issued in FL
Practice address
7400 N Kendall Dr
Suite 511
Miami, FL 33156-7706
Phone
(305) 670-8165
Fax
(305) 670-8164
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME20305 FL Primary

Addresses

Primary practice location

7400 N Kendall Dr
Suite 511
Miami, FL 33156-7706

Mailing address

8950 SW 74TH CT
Ste 1404
Miami, FL 33156-3173
Phone (305) 670-8165

Other identifiers 2

IdentifierTypeStateIssuer
054946100MedicaidFL
91776OtherFLMEDICARE PTAN

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
I20120716000405 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0345405163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8950 SW 74 CT
Suite 1404
Miami, FL 33156-3173
Phone (305) 670-8165

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rene J Gomez MD PA Cardiovascular Disease CurrentSince Jul 9, 1973 Accepting new patients
Diagnostic Readers Group Inc Cardiovascular Disease Past Accepting new patients

Locations

8950 SW 74th Ct
Ste 1404
Miami, FL 33156
Phone (305) 504-1855

Organizations & group practices 2

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1457390486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT",
            "address_2": "STE 1404",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563173",
            "telephone_number": "305-670-8165",
            "fax_number": "305-670-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 N KENDALL DR",
            "address_2": "SUITE 511",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567706",
            "telephone_number": "305-670-8165",
            "fax_number": "305-670-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "RENE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME20305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054946100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "91776",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.