Miguel Angel Prado Gomez, APRN,NP-C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11009587 Issued in FL

Practice address

2970 University Pkwy Ste 204
Sarasota, FL 34243-2401

Phone

(941) 242-0934

NPI assigned

Oct 11, 2020

Last updated

Jul 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Verimed Health Group South Tampa LLCGroup PAC ID 3678709078, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Verimed Health Group South Tampa LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1801140561
  Medicare reassignment Care Compare group NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment NPD
• Verimed Health Group Bradenton LLC

  • Primary Care Clinic/Center
  • Bradenton, FL
  • NPI 1023422391
  Medicare reassignment NPD
• Verimed Health Group North Tampa, LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1881940914
  Medicare reassignment NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD
• Primecare South Tampa, LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1538357454
  NPD
• Verimed Health Group Sarasota, LLC

  • Primary Care Clinic/Center
  • Sarasota, FL
  • NPI 1235696139
  NPD

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1811595002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 BLUE BEECH DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 UNIVERSITY PKWY STE 204",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432401",
            "telephone_number": "941-242-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO GOMEZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "APRN,NP-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-11",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "direct",
            "affiliation": "N",
            "address_1": "2970 University Pkwy Ste 204",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342432401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.