Active NPI
Gerard Geurts, PA-C
- Physician Assistant
- Wheaton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085001584
- Practice address
- 7 Blanchard Cir
Wheaton, IL 60189-2037 - Phone
- (630) 926-4337
- Fax
- (630) 653-0988
- NPI assigned
- Nov 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085001584 | IL | Primary |
Addresses
Primary practice location
7 Blanchard Cir
Wheaton, IL 60189-2037
Mailing address
7 Blanchard Cir
Wheaton, IL 60189-2037
Phone (630) 653-0848
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550894537 | Other | IL | TAX ID |
| 920540 | Other | IL | MEDICARE PTAN (GROUP) |
| K03094 | Other | MCR | |
| F400104135 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| K18826 | Other | MCR ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2490 Bushwood Dr
Elgin, IL 60124-7898
Phone (224) 293-5200
3475 S Alpine Rd
Rockford, IL 61109-2604
Phone (815) 874-8000
405 W Golf Rd
Schaumburg, IL 60195-3501
Phone (224) 215-0011
4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients |
Locations
300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009
7 Blanchard Cir
Wheaton, IL 60189
Phone (630) 510-9009
2180 Manchester Rd
Wheaton, IL 60187
Phone (630) 665-4330
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
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.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1225010119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BLANCHARD CIR",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892037",
"telephone_number": "630-653-0848",
"fax_number": "630-653-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 BLANCHARD CIR",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892037",
"telephone_number": "630-926-4337",
"fax_number": "630-653-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEURTS",
"first_name": "GERARD",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085001584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "550894537",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (GROUP)",
"identifier": "920540",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR",
"identifier": "K03094",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "F400104135",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR ID",
"identifier": "K18826",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.