Individual provider Active NPI

Omar A Gomez, MD

  • Internal Medicine Physician
  • Pharr, TX
National Provider Identifier
1871667493
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L2283 Issued in TX
Practice address
524 S Cage Blvd
Suite F
Pharr, TX 78577-5448
Phone
(956) 787-3822
Fax
(956) 787-6061
NPI assigned
Nov 17, 2006
Last updated
Dec 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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 L2283 TX Primary

Addresses

Primary practice location

524 S Cage Blvd
Suite F
Pharr, TX 78577-5448

Mailing address

524 S Cage Blvd
Suite F
Pharr, TX 78577-5448
Phone (956) 787-3822

Other identifiers 1

IdentifierTypeStateIssuer
149000502MedicaidTX

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
I20100223000559 TX Practitioner - Internal Medicine 1759425127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

524 S Cage Blvd
Suite F
Pharr, TX 78577-5448
Phone (956) 475-3031

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L2283TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Apr 7, 2025 Accepting new patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Apr 7, 2025 Accepting new patients
Omar a Gomez MD PA Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients

Locations

524 S Cage Blvd
Ste F
Pharr, TX 78577
Phone (956) 475-3031

524 S Cage Blvd
Pharr, TX 78577
Phone (956) 475-3031

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: omar.gomez@wellmed.eclinicaldirectplus.com

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 5

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1871667493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S CAGE BLVD",
            "address_2": "SUITE F",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775448",
            "telephone_number": "956-787-3822",
            "fax_number": "956-787-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S CAGE BLVD",
            "address_2": "SUITE F",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775448",
            "telephone_number": "956-787-3822",
            "fax_number": "956-787-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "OMAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149000502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

Verify at the official NPI Registry.