Organization Active NPI

Internal Medicine and Geriatrics Associates, P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Melbourne, FL
National Provider Identifier
1467410167
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME0087447 Issued in FL
Legal business name
INTERNAL MEDICINE AND GERIATRICS ASSOCIATES, P.A.
Practice address
240 N Wickham Rd
Suite 110
Melbourne, FL 32935-8662
Phone
(321) 757-7541
Fax
(321) 757-7343
NPI assigned
May 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sarunas S. Skirk, M.D.NPI 1154389849
Title
Medical Doctor
Phone
(321) 757-7541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME0087447 FL Primary

Addresses

Primary practice location

240 N Wickham Rd
Suite 110
Melbourne, FL 32935-8662

Mailing address

240 N Wickham Rd
Suite 110
Melbourne, FL 32935-8662
Phone (321) 757-7541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060523000123 FL Part B Supplier - Clinic/Group Practice 1658382031 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467410167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD",
            "address_2": "SUITE 110",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358662",
            "telephone_number": "321-757-7541",
            "fax_number": "321-757-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD",
            "address_2": "SUITE 110",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358662",
            "telephone_number": "321-757-7541",
            "fax_number": "321-757-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND GERIATRICS ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKIRK",
        "authorized_official_first_name": "SARUNAS",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "321-757-7541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0087447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.