MICHAEL RAY GOMEZ MD NPI 1508828476

NPI Information

NPI: 1508828476
Provider Name: MICHAEL RAY GOMEZ, MD
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
4311 E LOHMAN AVE
LAS CRUCES, NM
ZIP 88011
Phone: (575) 556-7600
Get Directions

Michael Ray Gomez, MD is a neonatal-perinatal medicine pediatrics in Las Cruces, NM. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Michael Ray Gomez, MD NPI is 1508828476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4311 E LOHMAN AVE
LAS CRUCES, NM
ZIP 88011
Phone: (575) 556-7600
Fax: (855) 527-5516

The NPI 1508828476 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 9/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	J1672	TEXAS	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	95-246	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	158194001	MEDICAID	ARKANSAS
2	$$$$$$$$$004	OTHER	OKLAHOMA	BLUE CROSS
3	200017460A	MEDICAID	OKLAHOMA
4	206297103	MEDICAID	MISSOURI
5	200310030B	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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