Individual provider Active NPI

Roberto Enrique Gomara

  • Pediatric Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1831156066
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME93220 Issued in FL
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

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
274283700MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110418000712 FL Practitioner - Pediatric MedicinePractitioner - Gastroenterology 5395929251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Gastroenterology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Gastroenterology Associates PLLCGroup PAC ID 6305020256, 7 clinicians
Biohealth Infusion Center LLCGroup PAC ID 9133504392, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Pediatric Gastroenterology Associates PLLC Pediatric Gastroenterology CurrentSince Jun 14, 2010 Accepting new patients
Biohealth Infusion Center LLC Infusion Therapy CurrentSince Sep 1, 2022 Accepting new patients
Biohealth Infusion Center LLC CurrentSince Sep 1, 2022 Accepting new patients
Pediatric Gastroenterology Associates PLLC PastSince Nov 9, 2025 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.

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

Verify at the official NPI Registry.