Individual provider Active NPI

Eve M Gerasimou, MD

  • Internal Medicine Physician
  • Great Falls, MT
National Provider Identifier
1457312464
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8388 Issued in MT
Practice address
3000 15TH Ave S
Great Falls, MT 59405-5240
Phone
(406) 454-2171
Fax
(406) 771-3021
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 8388 MT
Internal Medicine Physician 207R00000X 8388 MT Primary

Addresses

Primary practice location

3000 15TH Ave S
Great Falls, MT 59405-5240

Mailing address

3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171

Other practice location 1

601 1st Ave N
Great Falls, MT 59401-2510
Phone (406) 454-6973

Other practice location 2

115 4th St S
Great Falls, MT 59401-3618
Phone (406) 454-6973

Organizations & group practices 4

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Falls Clinic LLC 73 clinicians

Practice addresses (Care Compare)

3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171

Hospital & facility affiliations

  • Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086
  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012
  • Northern Montana Hospital Hospital, Havre, MT, CCN 271348

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314000514 MT Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular Disease 4385636059 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8388MTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Falls Clinic LLC CurrentSince Nov 11, 2020 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Providence Health & Services Mt Cardiovascular Disease Past Accepting new patients
Eve M Gerasimou,MD LLC PastSince Jun 20, 2002 Accepting new patients

Locations

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102

Interoperability endpoints

  • Direct secure messaging: eve.gerasimou.1@25095.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1457312464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055240",
            "telephone_number": "406-454-2171",
            "fax_number": "406-771-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055240",
            "telephone_number": "406-454-2171",
            "fax_number": "406-771-3021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 1st Ave N",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594012510",
            "country_code": "US",
            "telephone_number": "406-454-6973",
            "fax_number": "406-791-9277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 4th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594013618",
            "country_code": "US",
            "telephone_number": "406-454-6973",
            "fax_number": "406-791-9277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERASIMOU",
        "first_name": "EVE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "8388",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "8388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.