Individual provider Active NPI

David R. Geller, M.D.

  • Surgery Physician
  • Louisville, KY
National Provider Identifier
1396787263
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
36536 Issued in KY
Practice address
2401 Terra Crossing Blvd Ste 375
Louisville, KY 40245-5395
Phone
(502) 893-7151
Fax
(502) 893-7020
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 36536 KY Primary

Addresses

Primary practice location

2401 Terra Crossing Blvd Ste 375
Louisville, KY 40245-5395

Mailing address

3920 Dutchmans LN Ste 308
Louisville, KY 40207-4702
Phone (502) 893-7151

Other identifiers 1

IdentifierTypeStateIssuer
64043698MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060124000772 KY Practitioner - General Surgery 8022032473 Practice locations: Louisville, KY
I20160107002907 IN Practitioner - General Surgery 8022032473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2401 Terra Crossing Blvd
Suite 375
Louisville, KY 40245-5395
Phone (502) 893-7151

4023 Reas LN
New Albany, IN 47150-2228
Phone (502) 893-7151

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36536KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Geller, MD, PLLC Surgery CurrentSince Sep 30, 2015 Accepting new patients
Vanguard Surgical LLC Surgery CurrentSince Sep 14, 2025 Accepting new patients
Physicians Medical Center LLC Past Accepting new patients

Locations

4023 Reas Ln
New Albany, IN 47150
Phone (502) 690-6425

3999 Dutchmans Ln
Ste 1E
Louisville, KY 40207
Phone (502) 559-1860

2401 Terra Crossing Blvd
Ste 375
Louisville, KY 40245
Phone (502) 893-7151

3920 Dutchmans Ln
Ste 302
Louisville, KY 40207
Phone (502) 425-5614

2401 Terra Crossing Blvd
Ste 308
Louisville, KY 40245
Phone (502) 893-7151

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19666/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1396787263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 DUTCHMANS LN STE 308",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074702",
            "telephone_number": "502-893-7151",
            "fax_number": "502-893-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 TERRA CROSSING BLVD STE 375",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455395",
            "telephone_number": "502-893-7151",
            "fax_number": "502-893-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "DAVID",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "36536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64043698",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.