Active NPI
Robert B Geehr, MD
- Diagnostic Radiology Physician
- New Lebanon, NY
National Provider Identifier
1114912755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 48504
- Practice address
- 501 State Rte 20
New Lebanon, NY 12125-0417 - Phone
- (518) 794-7216
- Fax
- (518) 794-0180
- NPI assigned
- Sep 20, 2005
- Last updated
- Jan 7, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 48504 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 48504 | MA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 232315 | NY |
Addresses
Primary practice location
501 State Rte 20
New Lebanon, NY 12125-0417
Mailing address
PO Box 417
New Lebanon, NY 12125-0417
Phone (518) 794-7216
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149837 | Medicaid | MA | |
| 00793935 | Medicaid | NY | |
| 677T81 | Other | NY | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48504 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Radiological Assoc | Diagnostic Radiology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- New Lebanon, NY
- NPI 1235126145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1114912755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417",
"city": "NEW LEBANON",
"state": "NY",
"postal_code": "121250417",
"telephone_number": "518-794-7216",
"fax_number": "518-794-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 STATE RTE 20",
"city": "NEW LEBANON",
"state": "NY",
"postal_code": "121250417",
"telephone_number": "518-794-7216",
"fax_number": "518-794-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEEHR",
"first_name": "ROBERT",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "48504",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "48504",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "232315",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149837",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00793935",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "677T81",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Lebanon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.