Active NPI
Laila Ibrahim Gomaa, MD
- Pain Medicine (Anesthesiology) Physician
- Dayton, OH
National Provider Identifier
1356341911
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective May 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 35068963G
- Practice address
- 8120 Garnet Dr
Dayton, OH 45458-2141 - Phone
- (937) 291-2511
- Fax
- (937) 291-2523
- NPI assigned
- Jul 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 35068963G | IL | Primary |
Addresses
Primary practice location
8120 Garnet Dr
Dayton, OH 45458-2141
Mailing address
8120 Garnet Dr
Dayton, OH 45458-2141
Phone (937) 291-2511
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000020807 | Other | ANTHEM | |
| 311570738026 | Other | CARESOURCE | |
| 2032982 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35068963G | IL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queen City Anesthesiologists Inc | Past | Accepting new patients | |
| Millenium Anesthesia LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1659350494
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1376536490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1356341911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 GARNET DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454582141",
"telephone_number": "937-291-2511",
"fax_number": "937-291-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 GARNET DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454582141",
"telephone_number": "937-291-2511",
"fax_number": "937-291-2523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMAA",
"first_name": "LAILA",
"middle_name": "IBRAHIM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "35068963G",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000020807",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "311570738026",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2032982",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.