Ahmed S. Gomaa

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

238000112 Issued in IL

Practice address

6 Brackley LN
South Barrington
South Barrington, IL 60010-6128

Phone

(847) 776-6822

Fax

(847) 705-9838

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• U.S. Surgical Associates, Inc.

  • Other Technician
  • South Barrington, IL
  • NPI 1578689758

  Technician, Other

  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1467573436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BRACKLEY LN",
            "address_2": "SOUTH BARRINGTON",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106128",
            "telephone_number": "847-776-6822",
            "fax_number": "847-705-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BRACKLEY LN",
            "address_2": "SOUTH BARRINGTON",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106128",
            "telephone_number": "847-776-6822",
            "fax_number": "847-705-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMAA",
        "first_name": "AHMED",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "IL",
            "license": "238000112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel M George, MD, MBA
• Kelsey Giachetti
• Kimberly Gibas, DC
• Vikramjit S Gill, MD
• Callan Gilsenan, MS, BCBA
• Gracelyn Healthcare
• Joseph S Grasso, D.O.
• Greater Barrington Family Health Center, P.C.
• Ashley Rose Greenan
• Katherine Hanyzewski, SPEECH THERAPIST

• Other Technician in South Barrington, IL
• Providers in South Barrington, IL by specialty
• Other Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.