NPIMap

Individual provider Active NPI

Johnson Lim Gomez, M.D.

  • Nephrology Physician
  • Richmond, VA
National Provider Identifier
1649534918
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101257251 Issued in VA
Practice address
7001 W Broad St Ste a
Richmond, VA 23294-3701
Phone
(804) 673-2722
Fax
(804) 282-5723
NPI assigned
Jul 1, 2012
Last updated
Sep 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101257251 VA Primary
Internal Medicine Physician 207R00000X 0101257251 VA

Addresses

Primary practice location

7001 W Broad St Ste a
Richmond, VA 23294-3701

Mailing address

671 Hioaks Rd Ste B
Richmond, VA 23225-4072
Phone (804) 272-5814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150722004467 VA Practitioner - HospitalistPractitioner - Internal Medicine 9537472378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Nephrology Associates IncGroup PAC ID 3173549045, 24 clinicians

Practice addresses (Care Compare)

671 B Hioaks Rd
Richmond, VA 23225-4072

671 Hioaks Rd
Suite B
Richmond, VA 23225-4072
Phone (804) 323-6903

671 Hioaks Rd B
Richmond, VA 23225-4072
Phone (804) 323-6903

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Nephrology Associates, Inc. Nephrology CurrentSince Jul 1, 2022 Accepting new patients

Locations

671 Hioaks Rd
Ste B
Richmond, VA 23225
Phone (804) 272-5814

7001 W Broad St
Ste A
Richmond, VA 23294
Phone (804) 673-2722

Interoperability endpoints

  • Direct secure messaging: johnson.gomez@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1649534918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 HIOAKS RD STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254072",
            "telephone_number": "804-272-5814",
            "fax_number": "804-560-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 W BROAD ST STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232943701",
            "telephone_number": "804-673-2722",
            "fax_number": "804-282-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JOHNSON",
        "middle_name": "LIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-01",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101257251",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101257251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.