Active NPI
Roberto Enrique Gomara
- Pediatric Gastroenterology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- ME93220
- Practice address
- 3200 SW 60TH CT
Suite #204
Miami, FL 33155-4000 - Phone
- (305) 661-6110
- Fax
- (305) 662-5882
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | ME93220 | FL | Primary |
Addresses
Primary practice location
3200 SW 60TH CT
Suite #204
Miami, FL 33155-4000
Mailing address
3200 SW 60TH CT
Suite #204
Miami, FL 33155-4000
Phone (305) 661-6110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274283700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 SW 60TH Court
Suite 204
Miami, FL 33155-4070
Phone (305) 661-3171
3200 SW 60TH CT
Suite 204
Miami, FL 33155-4070
8684 SW 72ND St
Miami, FL 33143-3734
Phone (786) 368-7539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Gastroenterology Associates PLLC | Pediatric Gastroenterology | Current | Accepting new patients |
| Biohealth Infusion Center LLC | Infusion Therapy | Current | Accepting new patients |
| Biohealth Infusion Center LLC | Current | Accepting new patients | |
| Pediatric Gastroenterology Associates PLLC | Past | Accepting new patients |
Locations
3200 SW 60th Ct
Ste 204
Miami, FL 33155
Phone (305) 661-3171
8684 Sunset Dr
Miami, FL 33143
Phone (786) 368-7539
10045 S Dixie Hwy
Pinecrest, FL 33156
Phone (786) 888-2480
Organizations & group practices 4
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.
-
- Infusion Therapy Clinic/Center
- Miami, FL
- NPI 1245950468
-
- Pediatric Gastroenterology Physician
- Miami, FL
- NPI 1295766558
-
- Community/Retail Pharmacy
- Miami, FL
- NPI 1891664728
-
- Non-Pharmacy Dispensing Site
- Pinecrest, FL
- NPI 1861361115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1831156066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SW 60TH CT",
"address_2": "SUITE #204",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554000",
"telephone_number": "305-661-6110",
"fax_number": "305-662-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SW 60TH CT",
"address_2": "SUITE #204",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554000",
"telephone_number": "305-661-6110",
"fax_number": "305-662-5882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMARA",
"first_name": "ROBERTO",
"middle_name": "ENRIQUE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "FL",
"license": "ME93220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274283700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.