Individual provider Active NPI

Peter T. Geleskie, M.D.

  • Family Medicine Physician
  • Madison, TN
National Provider Identifier
1609840131
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 33838 Issued in TN
Practice address
1210 Briarville Rd
BLDG B
Madison, TN 37115-5141
Phone
(615) 860-0704
Fax
(615) 860-8235
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 33838 TN Primary

Addresses

Primary practice location

1210 Briarville Rd
BLDG B
Madison, TN 37115-5141

Mailing address

1210 Briarville Rd
BLDG B
Madison, TN 37115-5141
Phone (615) 860-0704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111202000609 TN Practitioner - Family Practice 9133180292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Family MedicineGroup PAC ID 5496843930, 4 clinicians

Practice addresses (Care Compare)

1210 Briarville Rd
Madison, TN 37115-5136
Phone (615) 860-0704

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33838TNMDPharmacist
MD 33838TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Family Medicine Family Medicine CurrentSince Oct 29, 2001 Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients

Locations

1210 Briarville Rd
Bldg B
Madison, TN 37115
Phone (615) 860-0704

1210 Briarville Rd
Bldg F
Madison, TN 37115
Phone (615) 860-0704

Interoperability endpoints

  • Direct secure messaging: peter.geleskie.1@17956.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1609840131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BRIARVILLE RD",
            "address_2": "BLDG B",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155141",
            "telephone_number": "615-860-0704",
            "fax_number": "615-860-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 BRIARVILLE RD",
            "address_2": "BLDG B",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155141",
            "telephone_number": "615-860-0704",
            "fax_number": "615-860-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELESKIE",
        "first_name": "PETER",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD 33838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.