Individual provider Active NPI

Todd Wilfred Geisert, MD

  • Ophthalmology Physician
  • Gloucester, VA
National Provider Identifier
1154354231
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101035181 Issued in VA
Practice address
7590 Hospital Drive
Walter Reed Professional Park
Gloucester, VA 23061-0770
Phone
(804) 693-5560
Fax
(804) 693-0457
NPI assigned
Jul 9, 2006
Last updated
Nov 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101035181 VA Primary

Addresses

Primary practice location

7590 Hospital Drive
Walter Reed Professional Park
Gloucester, VA 23061-0770

Mailing address

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000385 VA Practitioner - Ophthalmology 1951496165 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Jul 15, 2007 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services, Inc. Ophthalmology CurrentSince Jul 15, 2007 Accepting new patients

Locations

7590 Hospital Dr
Gloucester, VA 23061
Phone (804) 693-5560

7590 Hospital Dr
Ste C204
Gloucester, VA 23061
Phone (804) 693-5560

2400 Cunningham Dr
Ste 900
Hampton, VA 23666
Phone (757) 838-4500

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

Interoperability endpoints

  • Direct secure messaging: tgeisert12309@direct.rivhs.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1154354231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 HOSPITAL DRIVE",
            "address_2": "WALTER REED PROFESSIONAL PARK",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230610770",
            "telephone_number": "804-693-5560",
            "fax_number": "804-693-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISERT",
        "first_name": "TODD",
        "middle_name": "WILFRED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101035181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, VA

Sources for this page

Verify at the official NPI Registry.