Individual provider Active NPI

Thomas C. Gerbino, AU.D.

  • Audiologist
  • Monroe, MI
National Provider Identifier
1689794265
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000037 Issued in MI
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

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
382270920OtherMIFEDERAL ID NUMBER
540E003140OtherMIBLUECROSS & BLUESHIELD
640E026870OtherMIBLUE CROSS & BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090210000440 MI Practitioner - Qualified Audiologist 0244395184 Reassigns benefits to 1 organization

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
Kenneth L Gwinn MD PCGroup PAC ID 8325098791, 6 clinicians

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

LicenseStateTypeSpecialty
1601000037MIMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth L Gwinn MD PC CurrentSince Mar 1, 2018 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.

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.

Verify at the official NPI Registry.