DR. FERNANDO GOMEZ M.D.
NPI 1669784385
Pediatrics - Pediatric Emergency Medicine in Jackson, MS

Active since July 10, 2010PECOS EnrolledAccepts Medicare Assignment
2500 NORTH STATE STREET, UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, JACKSON, MS 39216(601) 984-5200(601) 984-2086 Get Directions Write a Review

NPPES record last updated: December 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Fernando Gomez M.d. NPPES

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

DR. FERNANDO GOMEZ M.D. (NPI 1669784385) is an individual pediatric emergency medicine provider in Jackson, Mississippi, licensed in Mississippi (22552) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2010).

NPPES Registry Identity

NPI1669784385
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. FERNANDO GOMEZCredential: M.D.
Location Address2500 NORTH STATE STREET, UNIVERSITY OF MISSISSIPPI MEDICAL CENTERJackson, MS 39216-4505
Mailing Address2500 North State Street, University Of Mississippi Medical CenterJackson, MS 39216-4505 · (601) 984-5200 · Fax (601) 984-2086
Fax(601) 984-2086
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2010
Enumeration DateJuly 10, 2010
Last NPPES UpdateDecember 21, 2015
NPI 1669784385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in MS · 22552
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
2500 NORTH STATE STREET, Jackson, MS 39216

Other Identifiers 5

Medicare PIN294910YR8UMS
Medicaid157213AL
Medicare PIN294910YWZ1MS
Medicaid2406752LA
Medicaid09303041MS

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

Dr. Fernando Gomez M.d. 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 ID244472124
PECOS Enrollment IDI20130805000795
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.

Nurse Practitioner
2500 NORTH STATE STREET, DEPARTMENT OF ORTHOPEDICS
JACKSON, MS 39216
Nurse Practitioner (Critical Care Medicine)
2500 NORTH STATE STREET
JACKSON, MS 39216
Internal Medicine (Geriatric Medicine)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS 39216
Pediatrics
2500 NORTH STATE STREET, UMMC NEONATOLOGY
JACKSON, MS 39216
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
JACKSON, MS 39216
Nurse Practitioner (Psychiatric/Mental Health)
2500 NORTH STATE STREET
JACKSON, MS 39216
Internal Medicine (Cardiovascular Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216

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 Fernando Gomez's NPI number?

The NPI number for Fernando Gomez is 1669784385. It was assigned to this individual provider in the NPPES registry on July 10, 2010.

Where is Fernando Gomez located?

Fernando Gomez practices at 2500 North State Street University Of Mississippi Medical Center, Jackson, MS 39216. The listed phone number is (601) 984-5200.

What is Fernando Gomez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Fernando Gomez enrolled in Medicare?

Yes. Fernando 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.

When was this NPI record last updated?

The NPPES record for Fernando Gomez was last updated on December 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.