JOSE ERNESTO GOMEZ (MD) – Student in an Organized Health Care Education/Training Program, NPI 1407551211

JOSE ERNESTO GOMEZ (MD) is a healthcare provider. based in Dallas, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. V4912 (TX). The NPI Number for JOSE ERNESTO GOMEZ (MD) is 1407551211

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JOSE ERNESTO GOMEZ (MD)
NPI
1407551211
Phone
Not provided
Address
5323 HARRY HINES BLVD
Enumeration Date
3 April 2023
Last Update Date
8 May 2025

Doctor Profile

Medical School Name
WISCONSIN COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
21487170007109
Graduation Year
2023 (3 years ago)
PAC ID
3577082668
Group Practice PAC ID
8729243274
Professional Enrollment ID
I20250521003326
Address ID
TX752047413DA2909XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,051 EMERGENCY MEDICINE in TX

Provider Addresses for JOSE ERNESTO GOMEZ (MD)

  • 5323 HARRY HINES BLVD

    DALLAS, TX 753907201

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250521003326IEmergency MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75390)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729243274View full group profile

Reviews

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Frequently asked questions

What federal number belongs to JOSE ERNESTO GOMEZ (MD)?
The federal identifier for JOSE ERNESTO GOMEZ (MD) is NPI 1407551211.
Is JOSE ERNESTO GOMEZ (MD) active in the national directory?
JOSE ERNESTO GOMEZ (MD)'s public NPI profile is in an active state.
What kind of provider is JOSE ERNESTO GOMEZ (MD)?
The page reflects Student in an Organized Health Care Education/Training Program for JOSE ERNESTO GOMEZ (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for JOSE ERNESTO GOMEZ (MD)?
The page summarizes Dallas, Texas for JOSE ERNESTO GOMEZ (MD); expand the address list for detail.
How can I contact JOSE ERNESTO GOMEZ (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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