LUIS GOMEZ ARNP
NPI 1245716067
Nurse Practitioner - Gerontology in Ormond Beach, FL
NPI Status: Active since July 15, 2018
Contact Information
1522 SPRINGLEAF DR
ORMOND BEACH, FL
ZIP 32174
Phone: (305) 240-5901
- Individual
- Male
- Nurse Practitioner
- Gerontology
- Opted-Out Medicare
About LUIS GOMEZ
This page provides the complete NPI Profile along with additional information for Luis Gomez, a provider established in Ormond Beach, Florida with a medical specialization in Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1245716067 assigned on July 2018. The practitioner's primary taxonomy code is 363LG0600X with license number ARNP9203642 (FL). The provider is registered as an individual and his NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1245716067
- Provider Name
- LUIS GOMEZ ARNP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1522 SPRINGLEAF DR ORMOND BEACH, FL 32174
- Location Phone
- (305) 240-5901
- Mailing Address
- 1522 SPRINGLEAF DR ORMOND BEACH, FL 32174
- Mailing Phone
- (305) 240-5901
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-15-2018
- Last Update Date
- 07-15-2018
- Code Navigator
A nurse practitioner (NP) like Luis Gomez is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Luis Gomez opted out of Medicare effective on 07-01-2025 until 07-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Gerontology
- Taxonomy Code
- 363LG0600X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- ARNP9203642
- License State
- FL
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2025
Opt-Out End Date: 07-01-2027
Eligible to Order and Refer? No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245716067, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245716067, enumerated as an "individual" on July 15, 2018.
The provider is located at 1522 SPRINGLEAF DR ORMOND BEACH, FL 32174 and the phone number is (305) 240-5901.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.