Maximilian Gomez-Trochez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

049979 Issued in CT

Practice address

365 Main St Ste 201
Watertown, CT 06795-2249

Phone

(860) 274-2418

Fax

(860) 274-2986

NPI assigned

Jun 23, 2008

Last updated

Apr 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Internal Medicine

Education

Icahn School of Medicine at Mount Sinai, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Care Beyond Medicine PLLCGroup PAC ID 7315355849, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Mary's Hospital Hospital, Waterbury, CT, CCN 070016
• Waterbury Hospital Hospital, Waterbury, CT, CCN 070005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Care Beyond Medicine PLLC

  • Internal Medicine Physician
  • Waterbury, CT
  • NPI 1902481930

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Watertown Medical Associates, LLC

  • Internal Medicine Physician
  • Southington, CT
  • NPI 1063985323
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prospect Waterbury, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1477902641
  Care Compare affiliation
• Saint Mary's Hospital, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1760426969
  Care Compare affiliation

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1467613356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MAIN ST STE 201",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952249",
            "telephone_number": "860-274-2418",
            "fax_number": "860-274-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MAIN ST STE 201",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952249",
            "telephone_number": "860-274-2418",
            "fax_number": "860-274-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-TROCHEZ",
        "first_name": "MAXIMILIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "049979",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "49979",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "717021/627772",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01040202",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA",
            "identifier": "1154493",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "05856125",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5856125",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P4376817",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Franca, PT
• Julia A Frankel, PMHNP-BC, APRN
• Caroline Galante
• Margaret Gedek
• Julia Faith Glenn
• Kathleen Goulet, PT
• Cheryl Gowlis, MS CCC-SLP
• Andrew Asher Greenberg
• Diane C Gribbin, RPH
• Jason Keith Grimes, MPT, ATC

• Internal Medicine Physician in Watertown, CT
• Providers in Watertown, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.