Individual provider Active NPI

Juan Camilo Gomez, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Coral Gables, FL
National Provider Identifier
1477996213
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME121382 Issued in FL
Practice address
2601 SW 37TH Ave Ste 904
Coral Gables, FL 33133-2751
Phone
(305) 283-8375
NPI assigned
Apr 11, 2013
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME121382 FL
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME121382 FL Primary

Addresses

Primary practice location

2601 SW 37TH Ave Ste 904
Coral Gables, FL 33133-2751

Mailing address

2601 SW 37TH Ave Ste 904
Coral Gables, FL 33133-2751
Phone (305) 283-8375

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
I20161012002760 FL Practitioner - Family PracticePractitioner - Hospitalist 7517255219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-1960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Hospitalists of South FL LLC CurrentSince Feb 5, 2019 Accepting new patients
Baptist Health Medical Group Physicians LLC CurrentSince Aug 28, 2020 Accepting new patients
Hospitalis10 Inc PastSince Aug 16, 2016 Accepting new patients

Locations

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

240 174th St
Ste 108
Sunny Isles Beach, FL 33160
Phone (305) 974-5933

Organizations & group practices 4

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 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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1477996213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 904",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331332751",
            "telephone_number": "305-283-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 904",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331332751",
            "telephone_number": "305-283-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JUAN",
        "middle_name": "CAMILO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME121382",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME121382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.