Active NPI
Richard Warren Geller, MD
- Pediatrics Physician
- Norwich, CT
National Provider Identifier
1699867036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 022855
- Practice address
- 92 New London Tpke
Norwich, CT 06360 - Phone
- (860) 884-3835
- Fax
- (860) 823-1782
- NPI assigned
- Sep 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 022855 | CT | Primary |
Addresses
Primary practice location
92 New London Tpke
Norwich, CT 06360
Mailing address
92 New London Tpke
Norwich, CT 06360
Phone (860) 884-3835
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030941 | Other | HEALTHNET | |
| 010022855CT01 | Other | ANTHEM BLUE CROSS | |
| NLP010 | Other | OXFORD | |
| 778589 | Other | CONNECTICARE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022855 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwich Pediatric Group, P.C. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Norwich, CT
- NPI 1134329485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699867036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 NEW LONDON TPKE",
"city": "NORWICH",
"state": "CT",
"postal_code": "06360",
"telephone_number": "860-884-3835",
"fax_number": "860-823-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 NEW LONDON TPKE",
"city": "NORWICH",
"state": "CT",
"postal_code": "06360",
"telephone_number": "860-884-3835",
"fax_number": "860-823-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLER",
"first_name": "RICHARD",
"middle_name": "WARREN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "022855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "030941",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "010022855CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "NLP010",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "778589",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.