DR. ISLAM ALI GOMAA (MD) – Family Medicine Physician, NPI 1215215520
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $31 |
| Inari Medical, Inc. | $19 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140904001976 | I | Emergency Medicine | MI | TBD |
| I20141113000353 | I | Family Practice | OH | 2023-11-30 |
| I20251218000170 | I | Emergency Medicine | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 224 | 216 | $0 |
| 99291 | Critical care, first 30-74 minutes | 78 | 77 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 76 | 75 | $0 |
Insurance plans in this area (ZIP 48202)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | MI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 14 | 13 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MI | |
| Emergency Medicine | MI | |
| Emergency Medicine | MI | |
| Emergency Medicine | FL | |
| Emergency Medicine | MI | |
| Emergency Medicine | MI | |
| Emergency Medicine | MI | |
| Emergency Medicine | MI | |
| Emergency Medicine, Family Practice | MI | |
| Nurse Practitioner | MI |
Reviews
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