Individual provider Active NPI

Wika K Gomez, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1477649010
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005228 Issued in IL
Practice address
3000 N Halsted St
Suite 606
Chicago, IL 60657-5188
Phone
(847) 390-7666
Fax
(847) 390-9345
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005228 IL Primary

Addresses

Primary practice location

3000 N Halsted St
Suite 606
Chicago, IL 60657-5188

Mailing address

1660 Feehanville Dr Ste 450
Mount Prospect, IL 60056-6023
Phone (847) 390-7666

Other practice location 1

5215 N California Ave Ste F605
Chicago, IL 60625-8564
Phone (847) 250-9096

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address wgomez276282@direct.myadvocateaurora.org Direct
Direct Messaging Address wgomez276282@direct.myadvocateaurora.org Direct
Direct Messaging Address wikagomez@weil.emadirect.md Direct
Direct Messaging Address wikagomez@weil.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061219000262 IL Practitioner - Podiatry 8729087895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005228ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Foot Health Centers, LLC Foot & Ankle Surgery PastSince Sep 1, 2024 Accepting new patients
Wika Kao Gomez Foot & Ankle Surgery PastSince Nov 14, 2008 Accepting new patients
Jondelle Jenkins Foot & Ankle Surgery Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHCCBA/Endpoint/FHCCBA
  • Direct secure messaging: wkg@weil.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1477649010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "telephone_number": "847-390-7666",
            "fax_number": "847-299-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "SUITE 606",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575188",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5215 N California Ave Ste F605",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606258564",
            "country_code": "US",
            "telephone_number": "847-250-9096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "WIKA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wgomez276282@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "APP PHO",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5215 N California Ave Ste F605",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606258564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wgomez276282@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "APP PHO",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3000 N Halsted St",
            "address_2": "Suite 606",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606575188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wikagomez@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5215 N California Ave Ste F605",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606258564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wikagomez@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3000 N Halsted St",
            "address_2": "Suite 606",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606575188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.