Organization Active NPI

Gomez Medical Group, Inc

  • Internal Medicine Physician
  • Elgin, IL
National Provider Identifier
1164823779
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GOMEZ MEDICAL GROUP, INC
Practice address
1600 N Randall Rd Ste 155
Elgin, IL 60123-7805
Phone
(224) 856-2300
Fax
(224) 856-2305
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Dr. Angel Gomez, M.D.NPI 1730236035
Title
President/Owner
Phone
(847) 894-0755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X 036066870 IL

Addresses

Primary practice location

1600 N Randall Rd Ste 155
Elgin, IL 60123-7805

Mailing address

1600 N Randall Rd Ste 155
Elgin, IL 60123-7805
Phone (224) 856-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150325000113 IL Part B Supplier - Clinic/Group Practice 2466779806 Receives reassigned benefits from 1 practitioner
Practice locations: Elgin, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2089265Gomez Medical Group1600 N Randall Rd #115, Elgin, IL 60123Certificate of waiverDec 22, 2026

National Provider Directory

National Provider Directory

Locations

1600 N Randall Rd
Ste 115
Elgin, IL 60123
Phone (224) 856-2300

1600 N Randall Rd
Ste 155
Elgin, IL 60123
Phone (224) 856-2300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIBJAD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1164823779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N RANDALL RD STE 155",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237805",
            "telephone_number": "224-856-2300",
            "fax_number": "224-856-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N RANDALL RD STE 155",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237805",
            "telephone_number": "224-856-2300",
            "fax_number": "224-856-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMEZ MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-894-0755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036066870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.