Active NPI
Victor Geralt
- Durable Medical Equipment & Medical Supplies
- Novi, MI
National Provider Identifier
1043474075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 28455 Haggerty Rd Ste 201
Novi, MI 48377-2982 - Phone
- (248) 994-3141
- Fax
- (248) 994-0887
- NPI assigned
- Jul 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
28455 Haggerty Rd Ste 201
Novi, MI 48377-2982
Mailing address
150 Turnderry CT
#5
Beverly Hills, MI 48025
Phone (248) 212-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930092136 | MI | DME Supplier - Medical Supply Company | 4880884881 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Novi, MI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Novi, MI
- NPI 1598991135
O20100930092136
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1043474075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 TURNDERRY CT",
"address_2": "#5",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "48025",
"telephone_number": "248-212-1300",
"fax_number": "248-994-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28455 HAGGERTY RD STE 201",
"city": "NOVI",
"state": "MI",
"postal_code": "483772982",
"telephone_number": "248-994-3141",
"fax_number": "248-994-0887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERALT",
"first_name": "VICTOR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-18",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.