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MARISOL GOMEZ MD
NPI 1003496001
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment
17 DAVIS BLVD STE 308, TAMPA, FL 33606(727) 462-7000 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marisol Gomez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISOL GOMEZ MD (NPI 1003496001) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003496001
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARISOL GOMEZCredential: MD
Location Address17 DAVIS BLVD STE 308Tampa, FL 33606-3438
Mailing Address17 Davis Blvd Ste 308Tampa, FL 33606-3438
Phone(727) 462-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 13, 2021
NPPES CertifiedApril 13, 2021
✔ NPI 1003496001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
17 DAVIS BLVD STE 308, Tampa, FL 33606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisol Gomez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42618613
PECOS Enrollment IDI20240821002313
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARA KHAN MD
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2202
PETER BRANDON DOMINGUEZ MD
Emergency Medicine
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 844-7000
NICHOLAS BRENNAN WAGNER MD
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2201
JACOB ALEXANDER KALIN DO
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 844-7000
MICHAEL BRANDON CISNEROS MD
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2201
DR. SANTIAGO BEJARANO HERNANDEZ MD, MPH
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 844-7000
LIDIA ODALIS LOPEZ
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2201
NATALIE JUN BALES MD
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisol Gomez's NPI number?

The NPI number for Marisol Gomez is 1003496001. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Marisol Gomez located?

Marisol Gomez practices at 17 Davis Blvd Ste 308, Tampa, FL 33606. The listed phone number is (727) 462-7000.

What is Marisol Gomez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marisol Gomez enrolled in Medicare?

Yes. Marisol Gomez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marisol Gomez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Marisol Gomez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marisol Gomez affiliated with any hospitals?

According to CMS data, Marisol Gomez is affiliated with St Josephs Hospital and Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Marisol Gomez was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.