NPIMap

Gennady Gelman, M.D.

Individual provider Active NPI Family Medicine Physician · Sturbridge, MA

NPI 1124453659 · NPPES record last updated Jan 15, 2019

Key facts

NPI
1124453659
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
257429 (MA)
Practice address
198 Charlton Rd
Sturbridge, MA 01566
Phone
(508) 347-9240
Fax
(508) 347-5361
NPI assigned
Sep 3, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group Inc (2,494 clinicians)

Practice addresses (Care Compare)

78 Sutton Ave
Oxford, MA 01540-1813
Phone (508) 499-1760

Hospital & facility affiliations

  • Care Central Vna & Hospice Inc Home health agency · Gardner, MA · CCN 227003
  • Elara Caring Home health agency · Braintree, MA · CCN 227475
  • Pathways Healthcare Home health agency · Westwood, MA · CCN 227569
  • Encompass Health Home Health Home health agency · Ludlow, MA · CCN 227611
  • Vna Care Network Home health agency · Worcester, MA · CCN 227098
  • Care Central Vna & Hospice Hospice · Gardner, MA · CCN 221529
  • Umass Memorial Health - Harrington Hospital Hospital · Southbridge, MA · CCN 220019
  • Umass Memorial Medical Center/University Campus Hospital · Worcester, MA · CCN 220163

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20131206001394 MA Practitioner - Family Practice 9234366725 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME125545FLMDFamily Medicine Physician
036-140746ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Health-Harrington Hospital Inc Current
since Mar 1, 2019		 Accepting new patients
Umass Memorial Medical Group Inc Family Medicine Current Accepting new patients
Umass Memorial Medical Group, Inc. Current
since Oct 1, 2023		 Accepting new patients

Locations

10 N Main St
Charlton, MA 01507
Phone (508) 248-3015

78 Sutton Ave
Oxford, MA 01540
Phone (508) 499-1760

100 South St
Southbridge, MA 01550
Phone (508) 764-8012

100 South St
Ste 102
Southbridge, MA 01550
Phone (508) 765-7860

164 South St
Southbridge, MA 01550
Phone (508) 755-4861

100 South St
Ste 208
Southbridge, MA 01550
Phone (508) 764-6356

198 Charlton Rd
Sturbridge, MA 01566
Phone (508) 347-7585

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: gennadygelman@hps.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME125545 FL
Family Medicine Physician 207Q00000X 036-140746 IL
Family Medicine Physician 207Q00000X 257429 MA Yes

Addresses

Primary practice location

198 Charlton Rd
Sturbridge, MA 01566

Mailing address

PO Box 40
Southbridge, MA 01550-0040
Phone (508) 909-7799

Other providers in Sturbridge, MA

All providers in Sturbridge, MA · Family Medicine Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.