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KELLY ALLAN GOMEZ DPM
NPI 1821021957
Podiatrist - Foot & Ankle Surgery in Provo, UT

Active since July 09, 2006PECOS Enrolled
777 N 500 W, SUITE 103, PROVO, UT 84601(801) 375-6677(801) 375-0346 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Allan Gomez Dpm NPPES

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

KELLY ALLAN GOMEZ DPM (NPI 1821021957) is an individual foot & ankle surgery provider in Provo, Utah, licensed in Utah (367951) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821021957
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameKELLY ALLAN GOMEZCredential: DPM
Location Address777 N 500 W, SUITE 103Provo, UT 84601
Mailing Address777 N 500 W, Suite 103Provo, UT 84601 · (801) 375-6677 · Fax (801) 375-0346
Phone(801) 375-6677
Fax(801) 375-0346
Sole ProprietorNo
Enumeration DateJuly 9, 2006
Last NPPES UpdateJanuary 14, 2015
✔ NPI 1821021957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in UT · 367951
Also ListedPodiatristTaxonomy 213E00000X · License 367951 (UT)
777 N 500 W, Provo, UT 84601
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Other Identifiers 4

Medicare NSC4385650001
Medicare UPINU75122
Other000064004UT · Medicare Ptan #
Medicare PIN000012169

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Allan Gomez Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. LOUIS A ERICKSON DDS
Dentist (General Practice)
777 N 500 W, SUITE 201 B
PROVO, UT 84601
Utah County (801) 374-5100
DR. GARY M HULET DMD
Dentist
777 N 500 W, SUITE 101B
PROVO, UT 84601
Utah County (801) 375-1275
LIFE INTEGRATIVE HEALTH CENTER
Clinic/Center
777 N 500 W, SUITE 104
PROVO, UT 84601
Utah County (801) 869-8199
DR. WILLIAM LECILE MCBEE DDS
Dentist (Oral and Maxillofacial Surgery)
777 N 500 W, SUITE 102
PROVO, UT 84601
Utah County (801) 375-4707
KYLE KONE LAMFT
Marriage & Family Therapist
777 N 500 W, #104
PROVO, UT 84601
Utah County (801) 869-8199
WISE CHOICE DENTISTRY INC.
Dentist (General Practice)
777 N 500 W, SUITE 201 B
PROVO, UT 84601
Utah County (801) 374-5200
LYNDI JENSON D.D.S
Dentist
777 N 500 W
PROVO, UT 84601
Utah County (801) 455-5244
KELLY A GOMEZ DPM PC
Clinic/Center (Podiatric)
777 N 500 W, SUITE 105
PROVO, UT 84601
Utah County (801) 375-6677

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 Kelly Gomez's NPI number?

The NPI number for Kelly Gomez is 1821021957. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Kelly Gomez located?

Kelly Gomez practices at 777 N 500 W Suite 103, Provo, UT 84601. The listed phone number is (801) 375-6677.

What is Kelly Gomez's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kelly Gomez enrolled in Medicare?

Yes. Kelly Gomez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Gomez was last updated on January 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.