DR. ISLAM ALI GOMAA (MD) – Family Medicine Physician, NPI 1215215520

DR. ISLAM ALI GOMAA (MD) is a healthcare provider. based in Detroit, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35.124000 (OH). The NPI Number for DR. ISLAM ALI GOMAA (MD) is 1215215520

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ISLAM ALI GOMAA (MD)
NPI
1215215520
Phone
(201) 675-7028
Address
2799 W GRAND BLVD
Enumeration Date
3 August 2011
Last Update Date
24 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8102161500
Graduation Year
2011 (15 years ago)
PAC ID
4284866526
Group Practice PAC ID
2365821634
Professional Enrollment ID
I20140904001976
Address ID
MI480606587PO2601XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for DR. ISLAM ALI GOMAA (MD)

  • 2799 W GRAND BLVD

    DETROIT, MI 482022608

    Phone: (201) 675-7028

    Type: Mailing

  • 2799 W. GRAND BOULVARD

    HENRY FORD HOSPITAL

    DETROIT, MI 482022608

    Phone: (201) 675-7028

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($31).

Total Amount

$50

General + Research + Ownership

Payments

3

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (925 days ago).

Enrollment records

3

Earliest due date

2023-11-30

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
I20140904001976IEmergency MedicineMITBD
I20141113000353IFamily PracticeOH2023-11-30
I20251218000170IEmergency MedicineINTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making224216$0
99291Critical care, first 30-74 minutes7877$0
99284Emergency department visit with moderate level of medical decision making7675$0
View full utilization report →

Insurance plans in this area (ZIP 48202)

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Provider's Procedures

DR. ISLAM ALI GOMAA (MD) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEMI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1413

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: 2365821634View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineFL
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency Medicine, Family PracticeMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Does DR. ISLAM ALI GOMAA (MD) have a public NPI I can cite?
Public records show DR. ISLAM ALI GOMAA (MD) under NPI 1215215520.
Is DR. ISLAM ALI GOMAA (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. ISLAM ALI GOMAA (MD) as active.
What services align with DR. ISLAM ALI GOMAA (MD)'s listing?
DR. ISLAM ALI GOMAA (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. ISLAM ALI GOMAA (MD) in Detroit, Michigan?
For routing, start with Detroit, Michigan for DR. ISLAM ALI GOMAA (MD), then verify phone and hours locally.
Why is information missing for DR. ISLAM ALI GOMAA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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