Individual provider Active NPI

Conan Gomez, MD

  • Neuroradiology Physician
  • Dallas, TX
National Provider Identifier
1801006523
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
M1711 Issued in TX
Practice address
712 N Washington Ave
Suite 101
Dallas, TX 75246-1619
Phone
(214) 826-8822
Fax
(214) 826-9792
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X M1711 TX Primary

Addresses

Primary practice location

712 N Washington Ave
Suite 101
Dallas, TX 75246-1619

Mailing address

712 N Washington Ave
Suite 101
Dallas, TX 75246-1619
Phone (214) 826-8822

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090812000247 TX Practitioner - Diagnostic Radiology 5496809311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Radiology Consultants PLLCGroup PAC ID 6709868409, 120 clinicians

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1711TXMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV LLP CurrentSince Aug 1, 2013 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
American Radiology Consultants PLLC CurrentSince Jul 5, 2009 Accepting new patients
Btdi JV LLP CurrentSince Sep 30, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2013 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2013 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV, LLP CurrentSince Jun 29, 2015 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2017 Accepting new patients
Btdi JV, LLP CurrentSince Aug 18, 2021 Accepting new patients
Btdi JV LLP CurrentSince Oct 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Sep 10, 2018 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2023 Accepting new patients
Blue Stone JV LLP CurrentSince Oct 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince May 1, 2019 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Baylor University Medical Center Past Accepting new patients
Btdi JV, LLP PastSince Jul 2, 2013 Accepting new patients

Locations (25 of 52)

1957 Antilley Rd
Abilene, TX 79606
Phone (325) 690-3854

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

707 Highlander Blvd
Arlington, TX 76015
Phone (817) 307-7533

690 N 14th St
Beaumont, TX 77702
Phone (409) 899-7047

1612 Hospital Pkwy
Bedford, TX 76022
Phone (817) 685-4700

294 Uptown Blvd
Ste 110
Cedar Hill, TX 75104
Phone (214) 820-2430

712 N Washington Ave
Ste 102
Dallas, TX 75246
Phone (214) 515-0016

6301 Gaston Ave
Ste 180
Dallas, TX 75214
Phone (214) 826-6700

411 N Washington Ave
Ste 1000
Dallas, TX 75246
Phone (214) 820-8770

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

3500 Gaston Ave
Dallas, TX 75246

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

9109 N Central Expy
Ste 100
Dallas, TX 75231

9301 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 389-9130

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

1441 W Jefferson Blvd
Dallas, TX 75208

9109 N Central Expy
Ste 200
Dallas, TX 75231

712 N Washington Ave
Ste 101
Dallas, TX 75246
Phone (214) 826-8822

3920 Worth St
Dallas, TX 75246
Phone (214) 443-3000

3900 Junius St
Ste 200
Dallas, TX 75246
Phone (214) 820-2430

3410 Worth St
Ste 160
Dallas, TX 75246
Phone (214) 826-9797

3720 S Interstate 35 E
Denton, TX 76210
Phone (940) 382-1022

1901 Grandview Ave
El Paso, TX 79902
Phone (915) 544-6750

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

6500 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 263-2600

Interoperability endpoints

  • Direct secure messaging: cgomez237683@direct.sw.org
  • Direct secure messaging: cgomez@direct.uspi.com

Organizations & group practices 19

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 19

Hospital & facility affiliations 3

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1801006523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N WASHINGTON AVE",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461619",
            "telephone_number": "214-826-8822",
            "fax_number": "214-826-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N WASHINGTON AVE",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461619",
            "telephone_number": "214-826-8822",
            "fax_number": "214-826-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "CONAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "M1711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.