Individual provider Active NPI

Fady J Gerges, MD

  • Anatomic Pathology Physician
  • Dover, DE
National Provider Identifier
1437211315
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
C1-0008033 Issued in DE
Practice address
1633 Sorghum Mill Rd
Dover, DE 19901-6810
Phone
(302) 734-5050
Fax
(302) 734-8080
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C1-0008033 DE
Anatomic Pathology Physician 207ZP0101X C1-0008033 DE Primary

Addresses

Primary practice location

1633 Sorghum Mill Rd
Dover, DE 19901-6810

Mailing address

1633 Sorghum Mill Rd
Dover, DE 19901-6810
Phone (302) 734-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20070423000066 DE Practitioner - Pathology 6305941295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Dermatology LLCGroup PAC ID 1254874860, 4 clinicians

Practice addresses (Care Compare)

1633 Sorghum Mill Rd
Dover, DE 19901-6810
Phone (302) 734-5050

310 Mullet Run
Milford, DE 19963-5371
Phone (302) 459-5010

Merit-based Incentive Payment System (MIPS)

Final score
45 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of skin lesions680
Removal or shaving of skin growth40
Skin biopsy300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0008033DEMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Clinics Laboratory, LLC CurrentSince May 19, 2015 Accepting new patients
Green Dermatology LLC CurrentSince Jun 13, 2024 Accepting new patients
CTM Medical Associates LLC Past Accepting new patients

Locations

1633 Sorghum Mill Rd
Ste 1633
Dover, DE 19901

740 S New St
Ste B
Dover, DE 19904
Phone (302) 734-5050

1633 Sorghum Mill Rd
Dover, DE 19901
Phone (302) 734-5050

310 Mullet Run
Milford, DE 19963
Phone (302) 424-0600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGCIBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1437211315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 SORGHUM MILL RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016810",
            "telephone_number": "302-734-5050",
            "fax_number": "302-734-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 SORGHUM MILL RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016810",
            "telephone_number": "302-734-5050",
            "fax_number": "302-734-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERGES",
        "first_name": "FADY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "C1-0008033",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "DE",
            "license": "C1-0008033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.