Active NPI
Robert H Geller, MD SC
- Specialist
- Elmhurst, IL
National Provider Identifier
1508977034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036055119
- Legal business name
- ROBERT H GELLER, MD SC
- Practice address
- 1200 S York Street, Suite 4240
Elmhurst, IL 60126-5651 - Phone
- (708) 450-0462
- Fax
- (708) 632-5602
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jacob A Mathew
- Title
- Business Office Manager
- Phone
- (708) 632-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036055119 | IL | Primary |
Addresses
Primary practice location
1200 S York Street, Suite 4240
Elmhurst, IL 60126-5651
Mailing address
P.O. Box 7230
Westchester, IL 60154-7230
Phone (708) 632-5600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036055119 | Medicaid | IL | |
| 1326068677 | Other | IL | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
675 W North Ave
Ste 609
Melrose Park, IL 60160
Phone (708) 450-5770
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Elmhurst, IL
- NPI 1326068677
-
- Psychiatry Physician
- Chicago, IL
- NPI 1578534483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691020800000",
"number": "1508977034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 7230",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601547230",
"telephone_number": "708-632-5600",
"fax_number": "708-632-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S YORK STREET, SUITE 4240",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265651",
"telephone_number": "708-450-0462",
"fax_number": "708-632-5602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT H GELLER, MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A",
"authorized_official_last_name": "MATHEW",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "708-632-5600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IL",
"license": "036055119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036055119",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1326068677",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.