Elisabeth Rosl Gennis, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

270444 Issued in MA

Practice address

14 Research PL
N Chelmsford, MA 01863-2412

Phone

(978) 454-2715

Fax

(978) 259-4697

NPI assigned

May 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, NH2 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

Specialty

Orthopedic Surgery

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Surgical Associates of Lowell, P.C.Group PAC ID 4880506484, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lowell General Hospital Hospital, Lowell, MA, CCN 220063
• Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elisabeth.gennis.1@1154.direct.athenahealth.com

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.

• Orthopaedic Surgical Associates of Lowell, P.C.

  • Orthopaedic Surgery Physician
  • North Chelmsford, MA
  • NPI 1457361040

  NH

  Medicare reassignment Care Compare group NPD
• Orthopaedic Surgical Associates of Lowell, P.C.

  • Orthopaedic Surgery Physician
  • Westford, MA
  • NPI 1568055309
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Lowell General Hospital

  dba Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  Care Compare affiliation
• Neuro Rehab Associates, Inc

  dba Northeast Rehabilitation Health Network

  • Rehabilitation Hospital
  • Salem, NH
  • NPI 1255354288

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023300670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-454-2715",
            "fax_number": "978-259-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-454-2715",
            "fax_number": "978-259-4697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Albany St",
            "address_2": "Shapiro 4, Suite B",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182526",
            "country_code": "US",
            "telephone_number": "617-638-5633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENNIS",
        "first_name": "ELISABETH",
        "middle_name": "ROSL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "270444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023300670",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minerva Domingo, MD
• Eric Joseph Ewald, MD
• Kailey Teresa Fasugba, LMHC
• Karen Fortune, MD
• Carol A Gagne, NP
• Greater North Transportation
• Felix Samson Gregorian
• I- Spine Intervention LLC
• Miret Ibrahim, MD
• Walter Moon Jo, MD

• Orthopaedic Surgery Physician in N Chelmsford, MA
• Providers in N Chelmsford, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.