Active NPI
Roberto Gomez, FNP-BC
- Family Nurse Practitioner
- Lufkin, TX
National Provider Identifier
1609529700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1069133
- Practice address
- 710 Gaslight Blvd Ste a
Lufkin, TX 75904-3187 - Phone
- (936) 639-0988
- Fax
- (936) 639-0991
- NPI assigned
- Jan 28, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1069133 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1069133 | TX | Primary |
Addresses
Primary practice location
710 Gaslight Blvd Ste a
Lufkin, TX 75904-3187
Mailing address
710 Gaslight Blvd Ste a
Lufkin, TX 75904-3187
Phone (936) 639-0988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.57 of 100
- Quality
- 82.69
- Improvement activities
- 40
- Cost
- 81.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Point - Desoto LLC | Family | Current | Accepting new patients |
| Woodrome Medical PA | Current | Accepting new patients | |
| Alabama-Coushatta Tribe of Texas | Past | Accepting new patients |
Locations
1601 Elm St
Ste 4210
Dallas, TX 75201
1111 N Interstate 35 E
Desoto, TX 75115
Phone (469) 530-9220
1517 E Rusk St
Jacksonville, TX 75766
Phone (903) 339-2370
2826 S Henderson Blvd
Kilgore, TX 75662
Phone 4693417800 ext. 211
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHCBCA
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.
-
- Family Medicine Physician
- Lindale, TX
- NPI 1104590330
-
- Family Medicine Physician
- Splendora, TX
- NPI 1265460919
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Livingston, TX
- NPI 1326288259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1609529700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 GASLIGHT BLVD STE A",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043187",
"telephone_number": "936-639-0988",
"fax_number": "936-639-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 GASLIGHT BLVD STE A",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043187",
"telephone_number": "936-639-0988",
"fax_number": "936-639-0991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "ROBERTO",
"name_prefix": "Mr.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-28",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1069133",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1069133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.