Active NPI
Adam J Geller, PAC
- Physician Assistant
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601003015
- Practice address
- 1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833 - Phone
- (231) 830-2748
- Fax
- (231) 733-5212
- NPI assigned
- Jul 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5601003015 | MI | |
| Physician Assistant | 363A00000X | 5601003015 | MI | Primary |
Addresses
Primary practice location
1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833
Mailing address
1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833
Phone (231) 733-1326
Other practice location 1
1300 Michigan St NE Ste 200
Grand Rapids, MI 49503-2029
Phone (616) 774-9515
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12841 Ford Rd
Dearborn, MI 48126-3349
Phone (313) 710-4205
23455 Michigan Ave
Dearborn, MI 48124-1908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601003015 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Sport and Injury Clinics | Current | Accepting new patients | |
| Mi Street Orthopedic Specialists PC | Past | Accepting new patients | |
| Gossage Eye Institute, PLC | Past | Accepting new patients | |
| Great Lakes Plastic Reconstructive & Hand Surgery P C | Past | Accepting new patients | |
| First Choice Medical Group PLLC | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
15100 Whittaker Way
Grand Haven, MI 49417
Phone (616) 935-6200
1300 Michigan St NE
Ste 200
Grand Rapids, MI 49503
Phone (616) 774-9515
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
Interoperability endpoints
- adam.geller.1@20203.direct.athenahealth.com
- adam.geller.1@29636.direct.athenahealth.com
- https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
Organizations & group practices 12
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
- Dearborn, MI
- NPI 1629201264
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Emergency Care Clinic/Center
- Grand Rapids, MI
- NPI 1225728736
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
MI
-
- Urgent Care Clinic/Center
- East Lansing, MI
- NPI 1477509313
-
- Nurse Practitioner
- Grand Rapids, MI
- NPI 1346480258
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Primary Care Clinic/Center
- Dearborn, MI
- NPI 1750769394
-
- Ophthalmology Physician
- Hillsdale, MI
- NPI 1285854000
-
- Plastic Surgery Physician
- Portage, MI
- NPI 1336335785
-
- Orthopaedic Surgery Physician
- Grand Rapids, MI
- NPI 1497860795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1285633172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MERCY DR STE 100",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441833",
"telephone_number": "231-733-1326",
"fax_number": "231-733-5212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MERCY DR STE 100",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441833",
"telephone_number": "231-830-2748",
"fax_number": "231-733-5212"
}
],
"practiceLocations": [
{
"address_1": "1300 Michigan St NE Ste 200",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495032029",
"country_code": "US",
"telephone_number": "616-774-9515",
"fax_number": "616-774-7116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GELLER",
"first_name": "ADAM",
"middle_name": "J",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MI",
"license": "5601003015",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601003015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.