Active NPI
Thomas C. Gerbino, AU.D.
- Audiologist
- Monroe, MI
National Provider Identifier
1689794265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000037
- Practice address
- 2246 N Monroe St
Monroe, MI 48162-4254 - Phone
- (734) 243-0220
- Fax
- (734) 243-4269
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000037 | MI | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 1601000037 | MI |
Addresses
Primary practice location
2246 N Monroe St
Monroe, MI 48162-4254
Mailing address
2246 N Monroe St
Monroe, MI 48162-4254
Phone (734) 243-0220
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382270920 | Other | MI | FEDERAL ID NUMBER |
| 540E003140 | Other | MI | BLUECROSS & BLUESHIELD |
| 640E026870 | Other | MI | BLUE CROSS & BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15959 Hall Rd
Suite Ll104
Macomb, MI 48044-5364
Phone (586) 799-1212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601000037 | MI | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth L Gwinn MD PC | Current | Accepting new patients | |
| Giaimo Mobile Podiatry of WV PLLC | Past | Accepting new patients | |
| Onsight, Inc. | Past | Accepting new patients |
Locations
15959 Hall Rd
Ste LL104
Macomb, MI 48044
Phone (586) 799-1212
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Shelby Township, MI
- NPI 1629163217
-
- Podiatrist
- East Lansing, MI
- NPI 1821248568
-
- Podiatrist
- Charleston, WV
- NPI 1386183473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1689794265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2246 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481624254",
"telephone_number": "734-243-0220",
"fax_number": "734-243-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2246 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481624254",
"telephone_number": "734-243-0220",
"fax_number": "734-243-4269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBINO",
"first_name": "THOMAS",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000037",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MI",
"license": "1601000037",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL ID NUMBER",
"identifier": "382270920",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS & BLUESHIELD",
"identifier": "540E003140",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "640E026870",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.