Individual provider Active NPI

Javier Gomez, MD

  • Gastroenterology Physician
  • Port Charlotte, FL
National Provider Identifier
1861632903
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME177993 Issued in FL
Practice address
2400 Harbor Blvd Ste 9
Port Charlotte, FL 33952-5038
Phone
(941) 246-2700
Fax
(888) 714-0472
NPI assigned
Mar 3, 2009
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME177993 FL Primary

Addresses

Primary practice location

2400 Harbor Blvd Ste 9
Port Charlotte, FL 33952-5038

Mailing address

2400 Harbor Blvd Ste 9
Port Charlotte, FL 33952-5038
Phone (941) 246-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120629000271 TX Practitioner - Gastroenterology 5799940532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Falls Gastroenterology AssociatesGroup PAC ID 4183635899, 9 clinicians

Practice addresses (Care Compare)

1104 Brook Ave
Wichita Falls, TX 76301-5049
Phone (940) 687-6870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
28.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
94.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy274
Upper gastrointestinal (GI) endoscopy for acid reflux257

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P2247TXMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc General Acute Care Hospital Current Accepting new patients
Jackson County Memorial Hospital Authority General Acute Care Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drgomez@direct-address.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: jgomez@wfga-tx.direct.office.nextgen.com
  • Direct secure messaging: jgomez13825@unitedregional.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1861632903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD STE 9",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525038",
            "telephone_number": "941-246-2700",
            "fax_number": "888-714-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD STE 9",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525038",
            "telephone_number": "941-246-2700",
            "fax_number": "888-714-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JAVIER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-03",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME177993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.