Individual provider Active NPI

Eliezer Arody Gomez, M.D.

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1124257381
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301094740 Issued in MI
Practice address
20001 W 7 Mile Rd
Detroit, MI 48219-3403
Phone
(313) 794-5111
Fax
(313) 794-5153
NPI assigned
Jul 9, 2009
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301094740 MI Primary

Addresses

Primary practice location

20001 W 7 Mile Rd
Detroit, MI 48219-3403

Mailing address

20001 W 7 Mile Rd
Detroit, MI 48219-3403
Phone (313) 794-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090915000260 MI Practitioner - Family Practice 5890841902 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians

Practice addresses (Care Compare)

30795 23 Mile Rd
Chesterfield, MI 48047-5720
Phone (586) 421-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301094740MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Urgent Care Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Michigan Healthcare Professionals PC Family Medicine CurrentSince Jul 31, 2021 Accepting new patients
Henry Ford Macomb Hospital Corporation Family Medicine Current Accepting new patients
Metropolitan Rehabilitation Clinics, Inc. CurrentSince Sep 22, 2024 Accepting new patients
Dedicated Physicians Group of Michigan, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jul 31, 2021 Accepting new patients
Dedicated Physicians Group of Michigan PLLC PastSince Mar 28, 2021 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410

30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

13210 E Jefferson Ave
Detroit, MI 48215
Phone (313) 335-3444

20001 W 7 Mile Rd
Detroit, MI 48219
Phone (313) 537-3272

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

20820 Greenfield Rd
Ste 100
Oak Park, MI 48237
Phone (248) 967-4301

68560 Stoecker Ln
Richmond, MI 48062
Phone (586) 250-4040

12150 30 Mile Rd
Ste 201
Washington Twp, MI 48095
Phone (586) 336-2380

Interoperability endpoints

  • Direct secure messaging: egomez19546@direct.hfhs.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1124257381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20001 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193403",
            "telephone_number": "313-794-5111",
            "fax_number": "313-794-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20001 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193403",
            "telephone_number": "313-794-5111",
            "fax_number": "313-794-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ELIEZER",
        "middle_name": "ARODY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301094740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.