Individual provider Active NPI

Geary M Gutowski Jr., PA

  • Surgical Physician Assistant
  • Wilmington, DE
National Provider Identifier
1063694040
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C5-0000610 Issued in DE
Practice address
1941 Limestone Road
Suite 101
Wilmington, DE 19808
Phone
(302) 633-3555
Fax
(302) 633-3559
NPI assigned
Nov 30, 2007
Last updated
Feb 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X C5-0000610 DE Primary

Addresses

Primary practice location

1941 Limestone Road
Suite 101
Wilmington, DE 19808

Mailing address

1941 Limestone Road
Suite 101
Wilmington, DE 19808
Phone (302) 633-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080228000660 DE Practitioner - Physician Assistant 8729162789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1941 Limestone Rd
Suite 101
Wilmington, DE 19808-5413
Phone (302) 655-9494

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.23 of 100Reported as group
Quality
76.62
Promoting interoperability
100
Improvement activities
30
Cost
76.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0000610DEMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Orthopaedic Associates PA CurrentSince Sep 24, 2007 Accepting new patients
Regional Orthopaedic Associates PA CurrentSince Sep 24, 2007 Accepting new patients

Locations

252 Carter Dr
Ste 101
Middletown, DE 19709

252 Carter Dr
Ste 200
Middletown, DE 19709

1096 Old Churchmans Rd
Newark, DE 19713
Phone (302) 351-4848

4923 Ogletown Stanton Rd
Ste 300
Newark, DE 19713
Phone 30265594941191

1941 Limestone Rd
Ste 101
Wilmington, DE 19808
Phone (302) 633-3555

3401 Brandywine Pkwy
Ste 100
Wilmington, DE 19803

3401 Brandywine Pkwy
Ste 101
Wilmington, DE 19803
Phone (302) 633-3555

3401 Brandywine Pkwy
Ste 200
Wilmington, DE 19803

Interoperability endpoints

  • Direct secure messaging: ggutowski@direct.delortho.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1063694040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE ROAD",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-633-3555",
            "fax_number": "302-633-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE ROAD",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-633-3555",
            "fax_number": "302-633-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTOWSKI",
        "first_name": "GEARY",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "DE",
            "license": "C5-0000610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.