Individual provider Active NPI

Louis G Gelrud, MD

  • Gastroenterology Physician
  • Richmond, VA
National Provider Identifier
1295721926
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101026977 Issued in VA
Practice address
5855 Bremo Rd
Suite 706
Richmond, VA 23226-1926
Phone
(804) 285-8206
Fax
(804) 285-0162
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101026977 VA Primary

Addresses

Primary practice location

5855 Bremo Rd
Suite 706
Richmond, VA 23226-1926

Mailing address

2369 Staples Mill Rd
Suite 200
Richmond, VA 23230-2918
Phone (804) 285-4465

Other identifiers 1

IdentifierTypeStateIssuer
006062580MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000455 VA Practitioner - Gastroenterology 0446282404 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101026977VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialists LLC Gastroenterology CurrentSince Feb 2, 2016 Accepting new patients

Locations

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

2369 Staples Mill Rd
Ste 200
Richmond, VA 23230
Phone (804) 285-4465

110 N Robinson St
Ste 100
Richmond, VA 23220
Phone (804) 254-5300

5855 Bremo Rd
Ste 706
Richmond, VA 23226
Phone (804) 287-4528

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1295721926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 STAPLES MILL RD",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302918",
            "telephone_number": "804-285-4465",
            "fax_number": "804-285-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 BREMO RD",
            "address_2": "SUITE 706",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261926",
            "telephone_number": "804-285-8206",
            "fax_number": "804-285-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELRUD",
        "first_name": "LOUIS",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101026977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006062580",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.