Geri-Med Service LTD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036095503 Issued in IL

Legal business name

GERI-MED SERVICE LTD

Practice address

3330 W 177TH St
Suite 2E
Hazel Crest, IL 60429-2184

Phone

(708) 532-2388

Fax

(708) 532-2296

NPI assigned

Mar 27, 2006

Last updated

Jun 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rekha Sharma, MDNPI 1619054228

Title

Owner

Phone

(708) 799-5455

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rekha Sharma, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hazel Crest, IL
  • NPI 1619054228
  Medicare reassignment NPD Authorized official
• Allan Michael Haggar, M.D.

  • Diagnostic Radiology Physician
  • Naperville, IL
  • NPI 1578583340
  NPD (past)
• Scott Kwan Lee, M.D.

  • Diagnostic Radiology Physician
  • La Grange, IL
  • NPI 1679596241
  NPD (past)
• Pitud Allan Rangsithienchai, M.D.

  • Internal Medicine Physician
  • Evanston, IL
  • NPI 1053592477
  NPD (past)
• Thomas A Predey, MD

  • Diagnostic Radiology Physician
  • Naples, FL
  • NPI 1417934639
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1093775546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "SUITE 2E",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "708-799-5455",
            "fax_number": "708-799-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "SUITE 2E",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "708-532-2388",
            "fax_number": "708-532-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERI-MED SERVICE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "REKHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-799-5455",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095503",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036095503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095503",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlean Garrett
• Michelle Gavin
• Pamela Elaine Geddes, MA
• Monica Kumar George, M.D.
• Eziaha R Georgewill, APRN-BC, C
• Abdul Ghani, MD
• Elyse Katie Gnilka, M.S., CCC-SLP/L
• Pranshul Goel, MD
• Elizabeth Alexandra Gonzalez, DO
• Jaime Scott Gonzalez, DO

• Geriatric Medicine (Internal Medicine) Physician in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.

Verify at the official NPI Registry.