NPIMap

Organization Active NPI

Omar a Gomez MD PA

  • Internal Medicine Physician
  • Pharr, TX
National Provider Identifier
1659461515
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L2283 Issued in TX
Legal business name
OMAR A GOMEZ MD PA
Practice address
524 S Cage Blvd
Suite F
Pharr, TX 78577-5448
Phone
(956) 475-3031
Fax
(956) 475-3680
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Omar A Gomez, MDNPI 1871667493
Title
President
Phone
(956) 475-3031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X L2283 TX Primary

Addresses

Primary practice location

524 S Cage Blvd
Suite F
Pharr, TX 78577-5448

Mailing address

524 S Cage Blvd
Suite F
Pharr, TX 78577-5448
Phone (956) 475-3031

Other identifiers 1

IdentifierTypeStateIssuer
154121101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100223000562 TX Part B Supplier - Clinic/Group Practice 3476697848 Receives reassigned benefits from 8 practitioners
Practice locations: Pharr, TX

National Provider Directory

National Provider Directory

Locations

524 S Cage Blvd
Pharr, TX 78577
Phone (956) 475-3031

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1659461515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S CAGE BLVD",
            "address_2": "SUITE F",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775448",
            "telephone_number": "956-475-3031",
            "fax_number": "956-475-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S CAGE BLVD",
            "address_2": "SUITE F",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775448",
            "telephone_number": "956-475-3031",
            "fax_number": "956-475-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR A GOMEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-475-3031",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154121101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.