NPIMap

Individual provider Active NPI

Gregg Gordon Gerasimon, MD

  • Clinical Cardiac Electrophysiology Physician
  • San Antonio, TX
National Provider Identifier
1265592570
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
P8585 Issued in TX
Practice address
3551 Roger Brooke Dr
San Antonio Military Medical Center
San Antonio, TX 78234-4504
Phone
(210) 916-3839
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X P8585 TX Primary
Cardiovascular Disease Physician 207RC0000X P8585 TX

Addresses

Primary practice location

3551 Roger Brooke Dr
San Antonio Military Medical Center
San Antonio, TX 78234-4504

Mailing address

3551 Roger Brooke Dr
San Antonio Military Medical Center
San Antonio, TX 78234-4504
Phone (210) 916-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150813009649 TX Practitioner - Cardiac Electrophysiology 9830404375 Reassigns benefits to 1 organization
I20260611000109 MT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 9830404375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Georgetown University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCHP Billings - Missoula LLCGroup PAC ID 8426370842, 69 clinicians

Practice addresses (Care Compare)

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 327-4646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P8585TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Clinic of San Antonio, PLLC Cardiovascular Disease CurrentSince Jun 1, 2015 Accepting new patients
San Antonio Cardiology Clinic PA Cardiovascular Disease Past Accepting new patients

Locations

12500 Judson Rd
Ste 300
Live Oak, TX 78233
Phone (210) 473-0246

1583 E Common St
Ste 105
New Braunfels, TX 78130
Phone (210) 757-5835

1139 E Sonterra Blvd
Ste 260
San Antonio, TX 78258
Phone (210) 404-2800

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

3701 Roy Richard Dr
Ste 202
Schertz, TX 78154

Interoperability endpoints

  • Direct secure messaging: 3543-gerasimon-gregg@direct.leadingreach.com
  • Direct secure messaging: gregg.gerasimon@hca7.eclinicaldirectplus.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.

Hospital & facility affiliations 6

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1265592570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "SAN ANTONIO MILITARY MEDICAL CENTER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "SAN ANTONIO MILITARY MEDICAL CENTER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERASIMON",
        "first_name": "GREGG",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "P8585",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P8585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.