Active NPI
Geoffrey Anderson, MD
- Trauma Surgery Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- A100789
- Practice address
- 92 Beacon St
1B
Boston, MA 02108-3325 - Phone
- (617) 763-6900
- NPI assigned
- Jul 19, 2007
- Last updated
- Jul 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | A100789 | CA | Primary |
| Surgery Physician | 208600000X | 247890 | MA |
Addresses
Primary practice location
92 Beacon St
1B
Boston, MA 02108-3325
Mailing address
2051 Morengo St
Ipt, C5L100
Los Angeles, CA 90033
Phone (617) 763-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Emory University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444
1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A100789 | CA | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Surgery | Current | Accepting new patients |
| Massachusetts General Physicians Organization Inc | Surgery | Current | Accepting new patients |
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Brigham and Women's Hospital | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Brigham & Womens Hospital, Inc. | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
2051 Marengo St
Apt C5L100
Los Angeles, CA 90033
Phone (323) 409-8597
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
75 Francis St
Boston, MA 02115
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8412
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Interoperability endpoints
- anderson.geoffrey.bwh@direct.partners.masshiway.net
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Surgery
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
dba Fair Oaks Clinic
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Los Angeles General Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1598773715
-
dba Cox Medical Centers
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
dba Cox Air Care
- Air Ambulance
- Springfield, MO
- NPI 1578680286
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1144420951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 MORENGO ST",
"address_2": "IPT, C5L100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "617-763-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 BEACON ST",
"address_2": "1B",
"city": "BOSTON",
"state": "MA",
"postal_code": "021083325",
"telephone_number": "617-763-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "GEOFFREY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-19",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "CA",
"license": "A100789",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "247890",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.