Active NPI
Sandra P Gomez, M.D.
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1922024652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L1864
- Practice address
- 4700 W Sam Houston Pkwy N
Ste 220
Houston, TX 77041-8224 - Phone
- (713) 402-7824
- Fax
- (713) 570-0196
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L1864 | TX | Primary |
Addresses
Primary practice location
4700 W Sam Houston Pkwy N
Ste 220
Houston, TX 77041-8224
Mailing address
4700 W Sam Houston Pkwy N
Ste 220
Houston, TX 77041-8224
Phone (713) 402-7824
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250124003630 | TX | Order and Referring Only - Hospice/Palliative Care | 6608859913 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1922024652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 W SAM HOUSTON PKWY N",
"address_2": "STE 220",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770418224",
"telephone_number": "713-402-7824",
"fax_number": "713-570-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 W SAM HOUSTON PKWY N",
"address_2": "STE 220",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770418224",
"telephone_number": "713-402-7824",
"fax_number": "713-570-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "SANDRA",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L1864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.