NPIMap

Individual provider Active NPI

Elena Geraymovych, M.D.

  • Ophthalmology Physician
  • Reno, NV
National Provider Identifier
1073775342
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16838 Issued in NV
Practice address
610 Sierra Rose Dr
Reno, NV 89511
Phone
(775) 356-7272
Fax
(775) 356-2922
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 16838 NV
Ophthalmology Physician 207W00000X 16838 NV Primary

Addresses

Primary practice location

610 Sierra Rose Dr
Reno, NV 89511

Mailing address

610 Sierra Rose Dr
Reno, NV 89511-2072
Phone (775) 356-7272

Other identifiers 1

IdentifierTypeStateIssuer
1073775342MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170201001018 NV Practitioner - Ophthalmology 8628225026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

610 Sierra Rose Dr
Reno, NV 89511-2072
Phone (775) 356-7272

Hospital & facility affiliations

  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16838NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Retina Associates CurrentSince Mar 1, 2017 Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Ohio State University Hospitals Past Accepting new patients
Bexar County Hospital District Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Osu Eye Physicians and Surgeons LLC Ophthalmology PastSince Sep 1, 2017 Accepting new patients

Locations

610 Sierra Rose Dr
Reno, NV 89511
Phone (775) 356-7272

Interoperability endpoints

  • Direct secure messaging: egeraymovych@nevadaretina.intellechartdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1073775342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112072",
            "telephone_number": "775-356-7272",
            "fax_number": "775-356-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-356-7272",
            "fax_number": "775-356-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERAYMOVYCH",
        "first_name": "ELENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NV",
            "license": "16838",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "16838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073775342",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.