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MR. JOHNNY EDWARD GOMEZ PA-C
NPI 1699005538
Physician Assistant - Medical in Pembroke Pines, FL

Active since December 27, 2009PECOS Enrolled
2250 NW 136TH AVE STE 100, PEMBROKE PINES, FL 33028(954) 302-7960(954) 628-5084 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Johnny Edward Gomez Pa-c NPPES

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

MR. JOHNNY EDWARD GOMEZ PA-C (NPI 1699005538) is an individual medical provider in Pembroke Pines, Florida, licensed in Florida (PA9105188) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699005538
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOHNNY EDWARD GOMEZCredential: PA-C
Location Address2250 NW 136TH AVE STE 100Pembroke Pines, FL 33028-2628
Mailing Address2250 Nw 136th Ave Ste 100Pembroke Pines, FL 33028-2628 · (954) 302-7960 · Fax (954) 628-5084
Phone(954) 302-7960
Fax(954) 628-5084
Sole ProprietorNo
Enumeration DateDecember 27, 2009
Last NPPES UpdateNovember 17, 2023
NPPES CertifiedNovember 17, 2023
✔ NPI 1699005538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9105188
2250 NW 136TH AVE STE 100, Pembroke Pines, FL 33028
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Johnny Edward Gomez Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims28 services$5.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MRS. SAVANNAH SHOURDS PA-C
Physician Assistant
2250 NW 136TH AVE STE 100
PEMBROKE PINES, FL 33028
Broward County (954) 302-7960

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 Johnny Gomez's NPI number?

The NPI number for Johnny Gomez is 1699005538. It was assigned to this individual provider in the NPPES registry on December 27, 2009.

Where is Johnny Gomez located?

Johnny Gomez practices at 2250 NW 136th Ave Ste 100, Pembroke Pines, FL 33028. The listed phone number is (954) 302-7960.

What is Johnny Gomez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Johnny Gomez enrolled in Medicare?

Yes. Johnny Gomez is registered in the Medicare PECOS enrollment system.

What insurance does Johnny Gomez accept?

Health plans from AvMed list Johnny 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.

When was this NPI record last updated?

The NPPES record for Johnny Gomez was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.