Active NPI
Randy A Gertner, MD
- Nephrology Physician
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 0101235455
- Practice address
- 101 Park Hill Dr
Fredericksburg, VA 22401 - Phone
- (540) 371-3010
- Fax
- (540) 899-9821
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Nephrology Physician
- Fredericksburg, VA
- NPI 1861583510
Nephrology, VA
-
- Specialist
- Atlanta, GA
- NPI 1770646747
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fredericksburg, VA
- NPI 1114144680
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- King George, VA
- NPI 1487962387
Dialysis facility
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
Hospital
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1376876664
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Pennsylvania State University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fredericksburg Nephrology Associates Inc
Practice addresses (Care Compare)
101 Park Hill Dr
Fredericksburg, VA 22401-3357
Phone (540) 371-3010
Hospital & facility affiliations
- Fresenius Medical Care King George
- Fresenius Medical Care Spotsylvania
- Mary Washington Hospital
- Spotsylvania Regional Medical Center
- Stafford Hospital, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040629000291 | VA | Practitioner - Nephrology | 4082690177 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010123545 | VA | MD | Nephrology Physician |
| 0101235455 | VA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fredericksburg Nephrology Associates, Inc. | Nephrology | Current | Accepting new patients |
| Dialysis Access Center of Atlanta | Past | Accepting new patients |
Locations
4604 Spotsylvania Pkwy
Ste 335
Fredericksburg, VA 22408
Phone (540) 898-4056
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
101 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 371-3010
10344 Indiantown Rd
King George, VA 22485
Phone (540) 775-7279
4122 Partnership Way
Locust Grove, VA 22508
Phone (540) 972-2174
479 Garrisonville Rd
Stafford, VA 22554
Phone (540) 720-1225
Interoperability endpoints
- rgertner15991@direct.acumenmd.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 010123545 | VA | |
| Nephrology Physician | 207RN0300X | 0101235455 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
101 Park Hill Dr
Fredericksburg, VA 22401
Mailing address
101 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 371-3010
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00207769 | Other | VA | RAILROAD |
| 184311 | Other | VA | ANTHEM BCBS |
| 010104203 | Medicaid | VA | |
| 0007355524 | Other | VA | AETNA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2022.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1285745752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PARK HILL DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22401",
"telephone_number": "540-371-3010",
"fax_number": "540-899-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PARK HILL DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22401",
"telephone_number": "540-371-3010",
"fax_number": "540-899-9821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERTNER",
"first_name": "RANDY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "VA",
"license": "010123545",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "VA",
"license": "0101235455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00207769",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "184311",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010104203",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007355524",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.