Individual provider Active NPI

Mary F Gerding-Dupuis, P.A.-C

  • Physician Assistant
  • Flint, MI
National Provider Identifier
1275727695
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004535 Issued in MI
Practice address
5100 Gateway Centre
Flint, MI 48507-3927
Phone
(810) 733-6480
Fax
(810) 733-8740
NPI assigned
Aug 29, 2007
Last updated
Jan 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004535 MI Primary

Addresses

Primary practice location

5100 Gateway Centre
Flint, MI 48507-3927

Mailing address

5100 Gateway Centre
Flint, MI 48507-3927
Phone (810) 733-6480

Other names 1

  • Ms. Mary F Gerding Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000862 MI Practitioner - Physician Assistant 8729133723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Institute of Michigan PLLCGroup PAC ID 3173510112, 11 clinicians

Practice addresses (Care Compare)

5100 Gateway Ctr
Flint, MI 48507-3927
Phone (810) 733-0790

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: mgerdingdupuis1129870@direct.hfhs.org

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 1

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1275727695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 GATEWAY CENTRE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073927",
            "telephone_number": "810-733-6480",
            "fax_number": "810-733-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 GATEWAY CENTRE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073927",
            "telephone_number": "810-733-6480",
            "fax_number": "810-733-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDING-DUPUIS",
        "first_name": "MARY",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GERDING",
            "middle_name": "F",
            "prefix": "MS.",
            "credential": "P.A.C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.