Individual provider Active NPI

Jessica Geller, M.D.

  • Internal Medicine Physician
  • Lauderhill, FL
National Provider Identifier
1174662670
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME36204 Issued in FL
Practice address
4994 N University Dr
Lauderhill, FL 33351-5748
Phone
(954) 748-9300
Fax
(954) 748-8556
NPI assigned
Feb 5, 2007
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME36204 FL Primary

Addresses

Primary practice location

4994 N University Dr
Lauderhill, FL 33351-5748

Mailing address

4994 N University Dr
Lauderhill, FL 33351-5748
Phone (954) 748-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050208000738 FL Practitioner - Internal Medicine 3678524535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Ross D. Nochimson, M.D.,P.a.Group PAC ID 6709837669, 4 clinicians

Practice addresses (Care Compare)

4992 N University Dr
Lauderhill, FL 33351-5748

4994 N University Dr
Lauderhill, FL 33351-5748
Phone (954) 748-9300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ross D. Nochimson, M.D.,P.a. Internal Medicine CurrentSince Jul 11, 2012 Accepting new patients

Locations

4994 N University Dr
Lauderhill, FL 33351
Phone (954) 748-9300

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1174662670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4994 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515748",
            "telephone_number": "954-748-9300",
            "fax_number": "954-748-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4994 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515748",
            "telephone_number": "954-748-9300",
            "fax_number": "954-748-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME36204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.