Family Care Associates LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY CARE ASSOCIATES LTD

Practice address

4438 N Miwaukee Ave
Chicago, IL 60630-6063

Phone

(773) 205-8200

Fax

(773) 205-1222

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carlos A Gomez, M.DNPI 1144327818

Title

President

Phone

(773) 205-8200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos A Gomez, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1144327818
  Medicare reassignment Care Compare group Authorized official
• Pedro A Reyes, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1508884602
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1992802664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14439",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140439",
            "telephone_number": "773-205-8200",
            "fax_number": "773-205-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4438 N MIWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606306063",
            "telephone_number": "773-205-8200",
            "fax_number": "773-205-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-205-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086306",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103291",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Affair Transportation LLC
• Family Building Blocks
• Family Building Blocks, LLC
• Family Care Acupuncture & Herbs
• Family Care Acupuncture and Herbs Inc
• Family Care Associates of Chicago
• Family Care Dental Center, P.C.
• Family Care Dental Group, LTD.
• Family Care Gentle Dental Ctr, P.C.
• Family Care Partners Inc

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.