Individual provider Active NPI

Jeffrey S Geller, MD

  • Family Medicine Physician
  • Lawrence, MA
National Provider Identifier
1265427694
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
158759 Issued in MA
Practice address
360 Merrimack St Ste 9
Lawrence, MA 01843-1764
Phone
(978) 655-6652
Fax
(789) 655-6653
NPI assigned
Sep 12, 2005
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 158759 MA Primary

Addresses

Primary practice location

360 Merrimack St Ste 9
Lawrence, MA 01843-1764

Mailing address

360 Merrimack St Ste 9
Lawrence, MA 01843-1764
Phone (978) 655-6652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20041006000058 MA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2264491240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Tufts University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kronos Health PLLCGroup PAC ID 3779881636, 9 clinicians

Practice addresses (Care Compare)

360 Merrimack St
Suite 9
Lawrence, MA 01843-1764
Phone (978) 655-6652

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kronos Health PLLC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients

Locations

360 Merrimack St
Ste 9
Lawrence, MA 01843
Phone (978) 552-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21969/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeffrey.geller.1@21969.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1265427694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST STE 9",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431764",
            "telephone_number": "978-655-6652",
            "fax_number": "789-655-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST STE 9",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431764",
            "telephone_number": "978-655-6652",
            "fax_number": "789-655-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "158759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.