Individual provider Active NPI

Osama Gomaa, MD

  • Neuroradiology Physician
  • Aventura, FL
National Provider Identifier
1780820522
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
ME107857 Issued in FL
Practice address
21355 E Dixie Hwy Ste 101&107
Aventura, FL 33180
Phone
(305) 705-4775
Fax
(786) 955-8100
NPI assigned
Dec 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X ME107857 FL
Nuclear Radiology Physician 2085N0904X ME107857 FL
Diagnostic Radiology Physician 2085R0202X ME107857 FL
Vascular & Interventional Radiology Physician 2085R0204X ME107857 FL
Diagnostic Ultrasound Physician 2085U0001X ME107857 FL
Student in an Organized Health Care Education/Training Program 390200000X TRN12117 FL
Neuroradiology Physician 2085N0700X ME107857 FL Primary

Addresses

Primary practice location

21355 E Dixie Hwy Ste 101&107
Aventura, FL 33180

Mailing address

21355 E Dixie Hwy # 107101
Aventura, FL 33180-1238
Phone (727) 688-3540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110929000558 FL Practitioner - Diagnostic Radiology 6103097886 Reassigns benefits to 2 organizations
I20200407003934 GA Practitioner - Diagnostic Radiology 6103097886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alfa Diagnostic LLCGroup PAC ID 8224391875, 3 clinicians

Practice addresses (Care Compare)

21355 E Dixie Hwy
Aventura, FL 33180-1239
Phone (305) 705-4775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107857FLMDBody Imaging Physician
TRN12117FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Alianza Inc CurrentSince Dec 20, 2018 Accepting new patients
Falconradusa ( D/B/a Telefalcon Radiology) Current Accepting new patients
Unlimited Diagnostic Center Inc CurrentSince Feb 18, 2019 Accepting new patients
Alfa Diagnostic LLC CurrentSince Apr 3, 2018 Accepting new patients
S Viroja PA CurrentSince Mar 29, 2023 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Feb 5, 2020 Accepting new patients
B & G Diagnostic Services Inc Diagnostic Radiology CurrentSince Jun 18, 2022 Accepting new patients
MRI Pluss Inc. CurrentSince Jul 12, 2018 Accepting new patients
Ultimate Diagnostic Center Corp CurrentSince Aug 21, 2018 Accepting new patients
Pet LLC Nuclear Radiology PastSince May 29, 2013 Accepting new patients
Alfa Diagnostic LLC Past Accepting new patients

Locations

21355 E Dixie Hwy
Ste 101
Aventura, FL 33180
Phone (305) 705-4775

2360 W 68th St
Ste 128
Hialeah, FL 33016
Phone (786) 431-5876

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 11

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": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1780820522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21355 E DIXIE HWY # 107101",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801238",
            "telephone_number": "727-688-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21355 E DIXIE HWY STE 101&107",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-705-4775",
            "fax_number": "786-955-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMAA",
        "first_name": "OSAMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-29",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME107857",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME107857",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME107857",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME107857",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "FL",
            "license": "ME107857",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN12117",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME107857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.