Jonatan David Manotas Gomez, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

58081 Issued in KY

Practice address

100 Helmwood Dr
Elizabethtown, KY 42701-2834

Phone

(270) 769-5579

Fax

(270) 706-5547

NPI assigned

May 6, 2020

Last updated

Oct 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Family Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Elizabethtown, KY, CCN 187085
• Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
• Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Merit-based Incentive Payment System (MIPS)

Final score

94.29 of 100Reported as apm

Quality

87.32

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Baptist Health Medical Group Inc

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1922401611
  Medicare reassignment Care Compare group NPD
• Baptist Health Medical Group Inc

  • Internal Medicine Physician
  • Elizabethtown, KY
  • NPI 1093338527
  NPD
• Baptist Health Medical Group Inc

  dba Dawson Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD

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

• Baptist Healthcare System Inc

  dba Baptist Health Hardin

  • General Acute Care Hospital
  • Elizabethtown, KY
  • NPI 1689282147
  Care Compare affiliation
• Centerwell Health Services USA, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Elizabethtown, KY
  • NPI 1598748600
  Care Compare affiliation
• Family Home Health Care LLC

  dba Adoration Home Health

  • Home Health Agency
  • Columbia, KY
  • NPI 1891765723
  Care Compare affiliation

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1982225421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HELMWOOD DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012834",
            "telephone_number": "270-769-5579",
            "fax_number": "270-706-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HELMWOOD DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012834",
            "telephone_number": "270-769-5579",
            "fax_number": "270-706-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOTAS GOMEZ",
        "first_name": "JONATAN",
        "middle_name": "DAVID",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-06",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "58081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Jerome Malecek, RPH
• Sherry H Malito, PHYSICAL THERAPIST
• Cedric Malone Sr.
• Molly Malone
• Elizabeth Gayle Manning
• Alexandria Maples
• William Maraman
• Tonya Marie Maravilla, APSS
• Christopher Wayne Marcum, CSA
• Gregory Alan Marcum

• Internal Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.

Verify at the official NPI Registry.