Individual provider Active NPI

Jaime Rolando Gomez, MD

  • Internal Medicine Physician
  • Stuart, FL
National Provider Identifier
1861408767
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME59959 Issued in FL
Practice address
973 SE Federal Hwy Ste 973B
Stuart, FL 34994-3702
Phone
(772) 288-5897
NPI assigned
Jul 31, 2006
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME59959 FL Primary

Addresses

Primary practice location

973 SE Federal Hwy Ste 973B
Stuart, FL 34994-3702

Mailing address

6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (305) 500-2000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jaime.gomez@conviva.eclinicaldirectplus.com Direct
Direct Messaging Address JGomez1@conviva.eclinicaldirectplus.com

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
I20040621000753 FL Practitioner - Internal Medicine 6608851084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Medicine LLCGroup PAC ID 1355232380, 2 clinicians

Practice addresses (Care Compare)

10023 S US Hwy 1
Suite a
Port Saint Lucie, FL 34952-5643
Phone (772) 398-5339

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME59959FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Medicine, LLC CurrentSince Jun 2, 2025 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Sep 5, 2023 Accepting new patients
Martin Memorial Medical Center Inc Past Accepting new patients
Martin Memorial Physician Corporation Inc PastSince Apr 1, 2004 Accepting new patients

Locations

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

10023 S US Highway 1
Ste A
Port St Lucie, FL 34952
Phone (772) 342-1020

973 SE Federal Hwy
Ste 973B
Stuart, FL 34994
Phone (772) 283-2086

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jgomez1@conviva.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1861408767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 SE FEDERAL HWY STE 973B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943702",
            "telephone_number": "772-288-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JAIME",
        "middle_name": "ROLANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME59959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaime.gomez@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "973 SE Federal Hwy Ste 973B",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349943702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JGomez1@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1545 SE Palm Ct",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349944914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.