JOSE ERNESTO GOMEZ MD
NPI 1407551211
Student in an Organized Health Care Education/Training Program in Dallas, TX

Q: What is Jose Gomez's NPI number?

The NPI number for Jose Gomez is 1407551211. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Jose Gomez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jose Gomez was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-3916 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2025, Apr 4, 2023 (2 updates tracked since 2023).

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About Jose Ernesto Gomez Md NPPES

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

JOSE ERNESTO GOMEZ MD (NPI 1407551211) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Wisconsin College Of Physicians And Surgeons (2023).

NPPES Registry Identity

NPI1407551211

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOSE ERNESTO GOMEZCredential: MD

Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201

Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201

Phone(214) 648-3916

Sole ProprietorNo

Medical School CMSWisconsin College Of Physicians And SurgeonsGraduated 2023

Enumeration DateApril 3, 2023

Last NPPES UpdateMay 8, 20252 updates tracked since enumeration

NPPES CertifiedMay 8, 2025

✔ NPI 1407551211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License V4912 (TX)

5323 HARRY HINES BLVD, Dallas, TX 75390

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Jose Ernesto 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 ID3577082668

PECOS Enrollment IDI20250521003326

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.

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.

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant