Mark W Geraci, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

01075552A Issued in IN

Practice address

550 University Blvd
Indianapolis, IN 46202-5149

Phone

(317) 994-5000

Fax

(317) 944-1289

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.w.geraci@upmcdirect.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Upmc Presbyterian Shadyside

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
  • NPI 1144384082

  Corporate Director

  CMS ownership
• Upmc Presbyterian Shadyside

  • Methadone Clinic
  • Pittsburgh, PA
  • NPI 1518089200

  Corporate Director

  CMS ownership
• Upmc Presbyterian Shadyside

  • Psychiatric Hospital Unit
  • Pittsburgh, PA
  • NPI 1750390134

  Corporate Director

  CMS ownership
• Upmc Presbyterian Shadyside

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1821007881

  Corporate Director

  CMS ownership

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.

• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• University of Pittsburgh Physicians

  • Pulmonary Disease Physician
  • Pittsburgh, PA
  • NPI 1811955230
  NPD

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1528158201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "SUITE 130 - PROVIDER ENROLLMENT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "317-994-5000",
            "fax_number": "317-944-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERACI",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "30744",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01075552A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01075552A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01307446",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201308110",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Georges Hartman, LCSW, LCAC
• Georgetown Chiropractic Clinic, PC
• Georgetown Dental Center
• Amelia Georgi, LCSW
• Mary Ann Gepte Tuano
• Gerald R Yarnell MD Inc
• Gerald S. Epstein, DDS, Inc
• Geraldines Wellness Group LLC
• Alexandra Gerber
• Rebecca Gerber, MSN, RN, AGCNS-BC

• Pulmonary Disease Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pulmonary Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.