Individual provider Active NPI

Juliana Bertha D Gomez Abanto, MD

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1770036881
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME170254 Issued in FL
Practice address
11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
Fax
(239) 208-3994
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X BP10056108 TX
Neurology Physician 2084N0400X ME170254 FL Primary

Addresses

Primary practice location

11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206

Mailing address

3102 4TH St Apt W122
Lubbock, TX 79415-3234
Phone (806) 507-0366

Other practice location 1

3601 4th St Stop 8321
Lubbock, TX 79430-8321
Phone (806) 743-2391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NH, KY, GA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20250110001011 CA Practitioner - Neurology 6800180373 Reassigns benefits to 2 organizations
I20250212000850 NH Practitioner - Neurology 6800180373 Reassigns benefits to 3 organizations
I20250418000334 KY Practitioner - Neurology 6800180373 Reassigns benefits to 4 organizations
I20250731003224 GA Practitioner - Hospitalist 6800180373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upson Medical Associates LLCGroup PAC ID 8729074059, 89 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians

Practice addresses (Care Compare)

1170 Welch Rd
Apt 721
Palo Alto, CA 94304-1914
Phone (239) 208-2212

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

3326 Stanford Village CT
Rocklin, CA 95765-5007
Phone (706) 647-8111

4390 Clearwater Way
Apt 2411
Lexington, KY 40515-6387
Phone (239) 208-2212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME170254FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Franklin CurrentSince Oct 1, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Feb 6, 2025 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2025 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Apr 27, 2025 Accepting new patients
Concord Hospital-Franklin CurrentSince Oct 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Feb 6, 2025 Accepting new patients
Concord Hospital-Laconia CurrentSince May 23, 2025 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Interoperability endpoints

  • Direct secure messaging: jgomezabanto4100437@oc.providencedirect.org
  • Direct secure messaging: jgomezabanto2992896@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1770036881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 4TH ST APT W122",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153234",
            "telephone_number": "806-507-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212",
            "fax_number": "239-208-3994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 4th St Stop 8321",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794308321",
            "country_code": "US",
            "telephone_number": "806-743-2391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ ABANTO",
        "first_name": "JULIANA",
        "middle_name": "BERTHA D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "BP10056108",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME170254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.