Individual provider Active NPI

Robert Howard Geller, M.D.

  • Specialist
  • Elmhurst, IL
National Provider Identifier
1326068677
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036055119 Issued in IL
Practice address
1200 S York St Ste 4240
Elmhurst, IL 60126-5651
Phone
(708) 450-0462
Fax
(708) 450-1591
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036055119 IL Primary

Addresses

Primary practice location

1200 S York St Ste 4240
Elmhurst, IL 60126-5651

Mailing address

1200 S York St Ste 4240
Elmhurst, IL 60126-5651
Phone (708) 450-0462

Other identifiers 1

IdentifierTypeStateIssuer
036055119MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20060921000051 IL Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 8921003286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Chicago College of Medicine and Surgery, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 S York St
Suite 4240
Elmhurst, IL 60126-5651
Phone (708) 450-0462

Hospital & facility affiliations

  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert H Geller, MD SC Specialist CurrentSince Aug 10, 2006 Accepting new patients
Elmhurst Memorial Healthcare PastSince May 25, 2021 Accepting new patients

Locations

1200 S York St
Ste 4240
Elmhurst, IL 60126
Phone (630) 834-7590

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

9410 Compubill Dr
Orland Park, IL 60462
Phone (312) 460-7444

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.

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1326068677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S YORK ST STE 4240",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265651",
            "telephone_number": "708-450-0462",
            "fax_number": "708-632-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK ST STE 4240",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265651",
            "telephone_number": "708-450-0462",
            "fax_number": "708-450-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "ROBERT",
        "middle_name": "HOWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036055119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055119",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.