Active NPI
Jeffrey C Gerik, MD
- Diagnostic Radiology Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- H8069
- Practice address
- 3000 Herring Ave
Waco, TX 76708 - Phone
- (254) 202-2000
- Fax
- (254) 753-6229
- NPI assigned
- Jul 11, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | H8069 | TX | Primary |
Addresses
Primary practice location
3000 Herring Ave
Waco, TX 76708
Mailing address
PO Box 1888
Greenville, TX 75403
Phone (800) 945-2455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138625204 | Medicaid | TX | |
| 138625213 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20041027000880 | TX | Practitioner - Diagnostic Radiology | 3072575562 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Southwestern Medical School at Dallas, 1989
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Radiology Associates of North Texas PA
Practice addresses (Care Compare)
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470
Hospital & facility affiliations
- Baylor Scott & White Medical Center Hillcrest
- Baylor Scott & White Medical Center - Temple
- Ascension Providence
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Btdi JV LLP | Current | Accepting new patients | |
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Texaspa | Diagnostic Radiology | Current | Accepting new patients |
| Btdi JV, LLP | Current | Accepting new patients | |
| Hillcrest X-Ray Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Central Texas Advanced Medical Imaging LP | Diagnostic Radiology | Past | Accepting new patients |
Locations
101 S Avenue T
Clifton, TX 76634
Phone (254) 675-8322
17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303
815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300
816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312
312 Richland West Cir
Waco, TX 76712
Phone (254) 751-9490
3000 Herring Ave
Waco, TX 76708
Phone (254) 202-2000
Organizations & group practices 6
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.
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- Physiological Laboratory
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- Diagnostic Radiology Physician
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- NPI 1417915984
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Hospital & facility affiliations 4
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": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1396779484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1888",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "75403",
"telephone_number": "800-945-2455",
"fax_number": "903-453-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HERRING AVE",
"city": "WACO",
"state": "TX",
"postal_code": "76708",
"telephone_number": "254-202-2000",
"fax_number": "254-753-6229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERIK",
"first_name": "JEFFREY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "H8069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138625204",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138625213",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.