Individual provider Active NPI

Nikhil Gera, MD

  • Psychiatry Physician
  • Woodlawn, MD
National Provider Identifier
1568620722
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D74756 Issued in MD
Practice address
6707 Whitestone Rd
#106
Woodlawn, MD 21207-4106
Phone
(410) 265-8737
Fax
(410) 265-1258
NPI assigned
May 23, 2008
Last updated
Apr 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A100494 CA
Psychiatry Physician 2084P0800X D74756 MD Primary

Addresses

Primary practice location

6707 Whitestone Rd
#106
Woodlawn, MD 21207-4106

Mailing address

6707 Whitestone Rd
#106
Woodlawn, MD 21207-4106
Phone (410) 265-8737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20201105001460 NV Practitioner - Psychiatry 8729121298 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D74756MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Oct 1, 2020 Accepting new patients
State of Nevada Current Accepting new patients
Southern Nevada Adult Mental Health CurrentSince Oct 1, 2020 Accepting new patients
Clinica Sierra Vista Past Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

6161 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 486-4400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1568620722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 WHITESTONE RD",
            "address_2": "#106",
            "city": "WOODLAWN",
            "state": "MD",
            "postal_code": "212074106",
            "telephone_number": "410-265-8737",
            "fax_number": "410-265-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 WHITESTONE RD",
            "address_2": "#106",
            "city": "WOODLAWN",
            "state": "MD",
            "postal_code": "212074106",
            "telephone_number": "410-265-8737",
            "fax_number": "410-265-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERA",
        "first_name": "NIKHIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A100494",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D74756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodlawn, MD

Sources for this page

Verify at the official NPI Registry.