Active NPI
George Gellert, MD
- Anesthesiology Physician
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 21918
- Practice address
- 802 Ainsworth Dr Ste a
Prescott, AZ 86301-1623 - Phone
- (928) 445-6025
- Fax
- (928) 777-2423
- NPI assigned
- Jan 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 21918 | AZ | Primary |
Addresses
Primary practice location
802 Ainsworth Dr Ste a
Prescott, AZ 86301-1623
Mailing address
PO Box 10880
Prescott, AZ 86304-0880
Phone (928) 759-5987
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050054840 | Other | MEDICARE RAILROAD | |
| 164947 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
802 Ainsworth Dr
Suite a
Prescott, AZ 86301-1623
Phone (928) 445-6025
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yavapai Regional Medical Center Physician Care LLC | Cardiovascular Disease | Current | Accepting new patients |
| Yavapai Regional Medical Center Physician Care LLC | Cardiovascular Disease | Current | Accepting new patients |
Locations
1001 Willow Creek Rd
Ste 2200
Prescott, AZ 86301
Phone (928) 445-6025
802 Ainsworth Dr
Ste A
Prescott, AZ 86301
Phone (928) 445-6025
3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818
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.
-
- Cardiovascular Disease Physician
- Prescott, AZ
- NPI 1255582003
-
- Cardiovascular Disease Physician
- Prescott, AZ
- NPI 1528394830
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1356312185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10880",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863040880",
"telephone_number": "928-759-5987",
"fax_number": "928-458-2039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 AINSWORTH DR STE A",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011623",
"telephone_number": "928-445-6025",
"fax_number": "928-777-2423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLERT",
"first_name": "GEORGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "21918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "050054840",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164947",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.