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MR. SHANNON MICHAEL GOMES M.D.
NPI 1427780956
Student in an Organized Health Care Education/Training Program in Scranton, PA

Active since June 24, 2022PECOS Enrolled
501 SOUTH WASHINGTON AVE, SCRANTON, PA 18505(570) 343-2383 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Shannon Michael Gomes M.d. NPPES

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

MR. SHANNON MICHAEL GOMES M.D. (NPI 1427780956) is an individual student in an organized health care education/training program in Scranton, Pennsylvania and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427780956
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SHANNON MICHAEL GOMESCredential: M.D.
Location Address501 SOUTH WASHINGTON AVEScranton, PA 18505
Mailing Address33 Golden Meadow DriveMarkham, ONTARIO L6E 1V8
Phone(570) 343-2383
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 24, 2022
Last NPPES UpdateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
✔ NPI 1427780956 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.
501 SOUTH WASHINGTON AVE, Scranton, PA 18505
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Shannon Michael Gomes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385098292
PECOS Enrollment IDI20260206001241
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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Gomes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Brevard Medical Support, Inc
930 mi
Multi-Specialty
250 HARRISON ST
Titusville, FL 32780
  • Reassigned Medicare billing, Florida enrollment
  • 184 clinicians in this Medicare group
NPI 1609834886 (321) 268-6868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

SANA ZAFAR
Student in an Organized Health Care Education/Training Program
501 SOUTH WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
NIVESH YADAV M.B.B.S.
Internal Medicine
501 SOUTH WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 591-5153
BANI KAUR GREWAL MBBS
Student in an Organized Health Care Education/Training Program
501 SOUTH WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
MR. JEAN-LUC KEEAN DORUIST AGARD M.D.
Student in an Organized Health Care Education/Training Program
501 SOUTH WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
MR. MEHAD HIRSI MD
Student in an Organized Health Care Education/Training Program
501 SOUTH WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
SAFWAAN SULEMAN
Student in an Organized Health Care Education/Training Program
501 SOUTH WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 591-5107

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 Shannon Gomes's NPI number?

The NPI number for Shannon Gomes is 1427780956. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Shannon Gomes located?

Shannon Gomes practices at 501 South Washington Ave, Scranton, PA 18505. The listed phone number is (570) 343-2383.

What is Shannon Gomes's specialty?

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

Is Shannon Gomes enrolled in Medicare?

Yes. Shannon Gomes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Gomes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Gomes reassigns Medicare benefits to North Brevard Medical Support, Inc (Titusville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Gomes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Gomes accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans list Shannon Gomes 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.

When was this NPI record last updated?

The NPPES record for Shannon Gomes was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.