NPIMap

Organization Active NPI

David Geller, MD, PLLC

  • Surgery Physician
  • Louisville, KY
National Provider Identifier
1639535677
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
36536 Issued in KY
Legal business name
DAVID GELLER, MD, PLLC
Practice address
3999 Dutchmans LN Ste 1E
Louisville, KY 40207-4741
Phone
(502) 893-7151
Fax
(502) 893-7020
NPI assigned
Jan 6, 2016
Last updated
Jan 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Dr. David Geller, MDNPI 1396787263
Title
Owner
Phone
(502) 893-7151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 36536 KY Primary

Addresses

Primary practice location

3999 Dutchmans LN Ste 1E
Louisville, KY 40207-4741

Mailing address

3999 Dutchmans LN Ste 1E
Louisville, KY 40207-4741
Phone (502) 893-7151

Other names 1

  • David Geller, MD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160106002908 IN Part B Supplier - Clinic/Group Practice 9335441450 Receives reassigned benefits from 1 practitioner
Practice locations: New Albany, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1639535677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN STE 1E",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074741",
            "telephone_number": "502-893-7151",
            "fax_number": "502-893-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN STE 1E",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074741",
            "telephone_number": "502-893-7151",
            "fax_number": "502-893-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GELLER, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-893-7151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "KY",
            "license": "36536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Geller, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.

Verify at the official NPI Registry.