Individual provider Active NPI

Marilyn Rea Geninatti, MD

  • Emergency Medicine Physician
  • Paradise Valley, AZ
National Provider Identifier
1649204819
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
12850 Issued in AZ
Practice address
5502 E Palo Verde Dr
Paradise Valley, AZ 85253-5160
Phone
(602) 803-0302
Fax
(602) 808-0905
NPI assigned
Jul 11, 2006
Last updated
Nov 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12850 AZ Primary

Addresses

Primary practice location

5502 E Palo Verde Dr
Paradise Valley, AZ 85253-5160

Mailing address

5502 E Palo Verde Dr
Paradise Valley, AZ 85253-5160
Phone (602) 803-0302

Other identifiers 1

IdentifierTypeStateIssuer
259128-02MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Emergency Specialist, PC Emergency Medicine PastSince Oct 10, 2005 Accepting new patients
Arizona Wound Care & Hyperbaric Medicine Specialist Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mgeninatti600444@direct.centracare.com

Organizations & group practices 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1649204819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 E PALO VERDE DR",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535160",
            "telephone_number": "602-803-0302",
            "fax_number": "602-808-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 E PALO VERDE DR",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535160",
            "telephone_number": "602-803-0302",
            "fax_number": "602-808-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENINATTI",
        "first_name": "MARILYN",
        "middle_name": "REA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "12850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259128-02",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.