Individual provider Active NPI

Ralph A Geraci, P.A.

  • Surgical Physician Assistant
  • Traverse City, MI
National Provider Identifier
1710901517
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5601002750 Issued in MI
Practice address
3537 W Front St Ste E
Traverse City, MI 49684-7943
Phone
(231) 935-5880
Fax
(231) 935-3464
NPI assigned
Jul 26, 2006
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5601002750 MI Primary

Addresses

Primary practice location

3537 W Front St Ste E
Traverse City, MI 49684-7943

Mailing address

1105 Sixth St
Traverse City, MI 49684-2386

Other practice location 1

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000

Other practice location 2

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000020 MI Practitioner - Physician Assistant 3870516412 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Pacific Medical College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

1121 6TH St
Suite 316
Traverse City, MI 49684-2345
Phone (231) 392-8280

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601002750MIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kalkaska Memorial Health Center CurrentSince Mar 1, 2013 Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC CurrentSince Jul 2, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Physician Assistant CurrentSince Jun 1, 2019 Accepting new patients
Kalkaska Memorial Health Center CurrentSince Mar 1, 2013 Accepting new patients
Munson Medical Center CurrentSince Apr 12, 2021 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Jun 1, 2019 Accepting new patients
Munson Medical Center CurrentSince Apr 12, 2021 Accepting new patients
Gossage Eye Institute, PLC PastSince Jan 1, 2003 Accepting new patients
Great Lakes Plastic Reconstructive & Hand Surgery P C Past Accepting new patients
Munson Healthcare Grayling Past Accepting new patients
Paul Oliver Memorial Hospital Past Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

3537 W Front St
Ste E
Traverse City, MI 49684
Phone (231) 935-5880

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1710901517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST STE E",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847943",
            "telephone_number": "231-935-5880",
            "fax_number": "231-935-3464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7506",
            "fax_number": "231-258-7592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERACI",
        "first_name": "RALPH",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601002750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.