Individual provider Active NPI

Adam Joseph Gomez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Sun City, AZ
National Provider Identifier
1710244744
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
56311 Issued in AZ
Practice address
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone
(602) 685-5211
Fax
(623) 322-4639
NPI assigned
Apr 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A126439 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 56311 AZ Primary

Addresses

Primary practice location

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004

Mailing address

PO Box 42210
Phoenix, AZ 85080-2210
Phone (602) 685-5211

Other practice location 1

14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Phone (602) 685-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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
I20170614002802 CA Practitioner - Pathology 4688942634
I20210720003653 AZ Practitioner - Pathology 4688942634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Baylor College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Specialist of Arizona, LLPGroup PAC ID 4789583188, 69 clinicians
St Josephs PathologyGroup PAC ID 5496730590, 12 clinicians

Practice addresses (Care Compare)

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (602) 685-5211

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139
  • Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318
  • Arizona Orthopedic and Surgical Specialty Hospital Hospital, Phoenix, AZ, CCN 030112

Merit-based Incentive Payment System (MIPS)

Final score
94.64 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126439CAMDMarriage & Family Therapist
56311AZMDAnatomic Pathology & Clinical Pathology Physician
A126439CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Pathology Clinical Pathology CurrentSince Sep 1, 2021 Accepting new patients
Pathology Specialist of Arizona, LLP Anatomic Pathology & Clinical Pathology CurrentSince Dec 1, 2021 Accepting new patients
Sonoran Radiology LTD Past Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

350 W Thomas Rd
Fl 2
Phoenix, AZ 85013

424 S 56th St
Ste 120
Phoenix, AZ 85034
Phone (480) 478-8059

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1710244744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850802210",
            "telephone_number": "602-685-5211",
            "fax_number": "623-322-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 W THUNDERBIRD BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513004",
            "telephone_number": "602-685-5211",
            "fax_number": "623-322-4639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14502 W Meeker Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755282",
            "country_code": "US",
            "telephone_number": "602-685-5211",
            "fax_number": "623-322-4639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ADAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A126439",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "56311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.