Individual provider Active NPI

Paul Douglas Geary, M.D.

  • Internal Medicine Physician
  • New Brighton, MN
National Provider Identifier
1477873008
Registry record updated Jun 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35549 Issued in MN
Practice address
149 1St Ave SE
New Brighton, MN 55112-7864
Phone
(651) 636-0286
Fax
(651) 636-0286
NPI assigned
Jun 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35549 MN Primary

Addresses

Primary practice location

149 1St Ave SE
New Brighton, MN 55112-7864

Mailing address

149 1St Ave SE
New Brighton, MN 55112-7864
Phone (651) 636-0286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20041203000746 MN Practitioner - Internal Medicine 8527024280 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Minnesota Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Health ServicesGroup PAC ID 1951213057, 677 clinicians

Practice addresses (Care Compare)

1700 University Ave W
6TH Floor W
Saint Paul, MN 55104-3727
Phone (651) 232-2273

5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7000

911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-1313

919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as group
Quality
89.73
Promoting interoperability
100
Improvement activities
40
Cost
80.99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Care System CurrentSince Mar 15, 2020 Accepting new patients
Fairview Clinics CurrentSince Mar 15, 2020 Accepting new patients
Healtheast St. John's Hospital CurrentSince Mar 15, 2020 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Sep 8, 2014 Accepting new patients
Fairview Bethesda Hospital CurrentSince Mar 15, 2020 Accepting new patients
Fairview Express Care CurrentSince Mar 15, 2020 Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Mar 15, 2020 Accepting new patients
Fairview Clinics CurrentSince Mar 15, 2020 Accepting new patients
Fairview Health Services CurrentSince Mar 15, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince Sep 8, 2014 Accepting new patients
Fairview Clinics Current Accepting new patients
Columbia Park Medical Group, PA Internal Medicine Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800

6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

4000 Central Ave NE
Saint Anthony, MN 55421
Phone (763) 572-5700

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: pgeary502009@fairview.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1275696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275696000000",
    "number": "1477873008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 1ST AVE SE",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127864",
            "telephone_number": "651-636-0286",
            "fax_number": "651-636-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 1ST AVE SE",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127864",
            "telephone_number": "651-636-0286",
            "fax_number": "651-636-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARY",
        "first_name": "PAUL",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-05",
        "last_updated": "2010-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "35549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

Verify at the official NPI Registry.