Individual provider Active NPI

Sophie Gomez, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Kennewick, WA
National Provider Identifier
1497725998
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD00031624 Issued in WA
Practice address
3525 W 10TH CT
Kennewick, WA 99338-2048
Phone
(206) 349-6874
NPI assigned
Jan 25, 2006
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00031624 WA
Addiction Medicine (Internal Medicine) Physician 207RA0401X MD00031624 WA
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD00031624 WA Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD00031624 WA

Addresses

Primary practice location

3525 W 10TH CT
Kennewick, WA 99338-2048

Mailing address

3525 W 10TH CT
Kennewick, WA 99338-2048
Phone (206) 349-6874

Other identifiers 3

IdentifierTypeStateIssuer
0202009OtherWAL&I
077333500OtherWAOWCP FECA
8184913MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20041020000277 WA Practitioner - Family PracticePractitioner - Internal Medicine 3375504715 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Sleep & Wake Disorders Center PLLC CurrentSince Aug 19, 2017 Accepting new patients
Grant County Public Hospital District 2 CurrentSince Jul 5, 2016 Accepting new patients
Department of Social Past Accepting new patients
Pinnacle Health Care LLC Past Accepting new patients
Pinnacle Health Care LLC Past Accepting new patients
Sunnyside Family Medicine, PC Past Accepting new patients

Locations

8412 W Gage Blvd
Ste B
Kennewick, WA 99336
Phone (509) 737-1447

908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503

1446 Spaulding Ave
Ste 301
Richland, WA 99352
Phone (509) 737-1447

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3721/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1497725998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W 10TH CT",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382048",
            "telephone_number": "206-349-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W 10TH CT",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382048",
            "telephone_number": "206-349-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SOPHIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00031624",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD00031624",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WA",
            "license": "MD00031624",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD00031624",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0202009",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP FECA",
            "identifier": "077333500",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8184913",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.