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EVA HELAL GUMMA
NPI 1205376035
Nurse Practitioner in Royal Oak, MI

Active since February 27, 2017PECOS EnrolledAccepts Medicare Assignment
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-5000 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 21, 2020, May 12, 2017, Feb 27, 2017 (3 updates tracked since 2017).

About Eva Helal Gumma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVA HELAL GUMMA (NPI 1205376035) is an individual nurse practitioner in Royal Oak, Michigan, licensed in Michigan (4704292804) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205376035
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEVA HELAL GUMMA
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address3601 W 13 Mile RdRoyal Oak, MI 48073-6712
Phone(248) 898-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 27, 2017
Last NPPES UpdateOctober 21, 20203 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1205376035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704292804
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3601 W 13 MILE RD, Royal Oak, MI 48073
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eva Helal Gumma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618252354
PECOS Enrollment IDI20170321001765
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Eva Gumma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaumont Medical Group Hospital -Based Services
0.2 mi
Hospitalist
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 946 clinicians in this Medicare group
NPI 1427567858 (248) 898-5000
Wellstreet Urgent Care Of Michigan
9.0 mi
Urgent Care
6900 ORCHARD LAKE RD STE 100
West Bloomfield, MI 48322
  • Reassigned Medicare billing, Michigan enrollment
  • 112 clinicians in this Medicare group
NPI 1578048096 (248) 855-4134
Henry Ford Health System
11 mi
Nurse Practitioner
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 577 clinicians in this Medicare group
NPI 1104900455 (313) 916-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services44 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
28 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AMIT BAHL MD, MPH
Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Oakland County (248) 898-0575
CATHERINE LEE PA
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 423-2481
DR. APARNA HARIHARAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-9060
TERRENCE METZ
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-5000
NICOLE MARIJANOVICH MD
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-7999
VINAYATA MANUBALLA KARETI D.O.
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (661) 948-0803
WESLEY RICHARD BARNES M.D.
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-2800
MELISSA JOY DREWRY M.D.
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-5000

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 Eva Gumma's NPI number?

The NPI number for Eva Gumma is 1205376035. It was assigned to this individual provider in the NPPES registry on February 27, 2017.

Where is Eva Gumma located?

Eva Gumma practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-5000.

What is Eva Gumma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Eva Gumma enrolled in Medicare?

Yes. Eva Gumma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Eva Gumma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eva Gumma reassigns Medicare benefits to 3 organizations: Beaumont Medical Group Hospital -Based Services (Royal Oak, MI), Wellstreet Urgent Care Of Michigan (West Bloomfield, MI) and Henry Ford Health System (Detroit, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eva Gumma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eva Gumma accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Eva Gumma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Eva Gumma affiliated with any hospitals?

According to CMS data, Eva Gumma is affiliated with Beaumont Hospital Royal Oak and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Eva Gumma was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.