Active NPI
Jaime Rolando Gomez, MD
- Internal Medicine Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME59959
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME59959 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Medicine, LLC | Current | Accepting new patients | |
| Conviva Medical Center Management LLC | Internal Medicine | Current | Accepting new patients |
| Martin Memorial Medical Center Inc | Past | Accepting new patients | |
| Martin Memorial Physician Corporation Inc | Past | 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
- 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.
-
- Specialist
- Port St Lucie, FL
- NPI 1831273309
-
- Internal Medicine Physician
- Stuart, FL
- NPI 1922745116
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- Urgent Care Clinic/Center
- Stuart, FL
- NPI 1154962918
-
- Multi-Specialty Clinic/Center
- Stuart, FL
- NPI 1578505228
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.