Gericare Associates Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GERICARE ASSOCIATES INC

Practice address

5157 Pleasant Ave
Fairfield, OH 45014-2622

Phone

(513) 863-4717

Fax

(513) 863-5118

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shwetal G Desai, M.DNPI 1083687248

Title

President

Phone

(513) 863-4717

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shwetal G. Desai, M.D.

  • Internal Medicine Physician
  • Fairfield, OH
  • NPI 1083687248

  OH

  Medicare reassignment Authorized official
• Rahib N Vasi, M.D.

  • Internal Medicine Physician
  • Fairfield, OH
  • NPI 1003864752

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1114115102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5157 PLEASANT AVE",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142622",
            "telephone_number": "513-863-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5157 PLEASANT AVE",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142622",
            "telephone_number": "513-863-4717",
            "fax_number": "513-863-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERICARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SHWETAL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-863-4717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PCAN",
            "identifier": "9337721",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1114115102",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2837676",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fairfield, OH
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.