Active NPI
Blake Norton Geren, M.D.
- Ophthalmology Physician
- Fort Smith, AR
National Provider Identifier
1063448405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- E5157
- Practice address
- 7901 Dallas St
Fort Smith, AR 72903-4281 - Phone
- (479) 782-8892
- Fax
- (479) 782-8840
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | E5157 | AR | Primary |
Addresses
Primary practice location
7901 Dallas St
Fort Smith, AR 72903-4281
Mailing address
7901 Dallas St
Fort Smith, AR 72903-4281
Phone (479) 782-8892
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CQ2484 | Other | RAILROAD MEDICARE | |
| 200115630A | Medicaid | OK | |
| P00419389 | Other | AR | RAILROAD MEDICARE |
| 164798001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Arkansas College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7901 Dallas St
Fort Smith, AR 72903-4281
Phone (479) 782-8892
Hospital & facility affiliations
- Mercy Hospital Fort Smith
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.04 of 100
- Quality
- 94.31
- Improvement activities
- 40
- Cost
- 74.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 215 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5157 | AR | MD | Ophthalmology Physician |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Fort Smith, AR
- NPI 1366414187
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1063448405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 DALLAS ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034281",
"telephone_number": "479-782-8892",
"fax_number": "479-782-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 DALLAS ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034281",
"telephone_number": "479-782-8892",
"fax_number": "479-782-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEREN",
"first_name": "BLAKE",
"middle_name": "NORTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AR",
"license": "E5157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CQ2484",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200115630A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00419389",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164798001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.