DR. ALFONSO G GOMEZ MD
NPI 1184365470
Student in an Organized Health Care Education/Training Program in Chicago, IL
About Dr. Alfonso G Gomez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALFONSO G GOMEZ MD (NPI 1184365470) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Alfonso G Gomez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAG, IL 60612
CHICAGO, IL 60612
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alfonso Gomez's NPI number?
The NPI number for Alfonso Gomez is 1184365470. It was assigned to this individual provider in the NPPES registry on April 2, 2022.
Where is Alfonso Gomez located?
Alfonso Gomez practices at 1901 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 864-6000.
What is Alfonso Gomez's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Alfonso Gomez enrolled in Medicare?
Yes. Alfonso Gomez is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Alfonso Gomez was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Alfonso G Gomez, MD · NPI 1184365470
Student in an Organized Health Care Education/Training Program provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since April 2, 2022.
## Identity
- **NPI:** 1184365470 (Entity type: Individual)
- **Enumerated:** April 2, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1901 W HARRISON ST, Chicago, IL 60612-3714
- **Phone:** (312) 864-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 7, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1184365470) · Data from the CMS NPPES public registry.