Individual provider Active NPI

Jose Diaz-Gomez, MD

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1508037623
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
S3652 Issued in TX
Practice address
6720 Bertner Ave Ste O-520
Houston, TX 77030-2604
Phone
(832) 355-2666
NPI assigned
Mar 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X S3652 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X S3652 TX
Anesthesiology Physician 207L00000X S3652 TX Primary

Addresses

Primary practice location

6720 Bertner Ave Ste O-520
Houston, TX 77030-2604

Mailing address

6720 Bertner Ave Ste O-520
Houston, TX 77030-2604
Phone (832) 355-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121206000152 FL Practitioner - Critical Care (Intensivists)Practitioner - Anesthesiology 7214078773 Reassigns benefits to 1 organization
I20200128001166 TX Practitioner - Critical Care (Intensivists)Practitioner - Anesthesiology 7214078773 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Anesthesiology CurrentSince Oct 15, 2019 Accepting new patients
South Florida Critical Care Services LLC Critical Care Medicine CurrentSince Dec 1, 2018 Accepting new patients
Baylor College of Medicine CurrentSince Oct 15, 2019 Accepting new patients

Locations

8370 W Flagler St
Ste 226
Miami, FL 33144
Phone (305) 917-5414

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

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6720 Bertner Ave
Ste O520
Houston, TX 77030
Phone (832) 355-2202

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

Organizations & group practices 3

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": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1508037623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 BERTNER AVE STE O-520",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "832-355-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BERTNER AVE STE O-520",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "832-355-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-GOMEZ",
        "first_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "TX",
            "license": "S3652",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "S3652",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "S3652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.