NPIMap

Individual provider Active NPI

Ari Benjamin Geller, D.O.

  • Nephrology Physician
  • Bloomfield, CT
National Provider Identifier
1710927892
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
046233 Issued in CT
Practice address
701 Cottage Grove Rd
Suite A210
Bloomfield, CT 06002-3080
Phone
(860) 769-9866
Fax
(860) 769-7300
NPI assigned
Jun 7, 2006
Last updated
Jun 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 046233 CT Primary

Addresses

Primary practice location

701 Cottage Grove Rd
Suite A210
Bloomfield, CT 06002-3080

Mailing address

35 Jolley Dr
Suite 203
Bloomfield, CT 06002-3071
Phone (860) 769-9866

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ageller16314@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080717000056 CT Practitioner - NephrologyPractitioner - Internal Medicine 7315043924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Hartford Nephrology LLCGroup PAC ID 5991772212, 8 clinicians

Practice addresses (Care Compare)

35 Jolley Dr
Suite 203
Bloomfield, CT 06002-4228
Phone (860) 769-9866

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
046233CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Hartford Nephrology, LLC Nephrology CurrentSince Jul 14, 2008 Accepting new patients

Locations

35 Jolley Dr
Ste 203
Bloomfield, CT 06002
Phone (860) 769-7302

9 Cranbrook Blvd
Enfield, CT 06082
Phone (860) 253-5330

Interoperability endpoints

  • Direct secure messaging: areb.geller@direct.davitaphysiciansolutions.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1710927892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR",
            "address_2": "SUITE 203",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023071",
            "telephone_number": "860-769-9866",
            "fax_number": "860-769-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD",
            "address_2": "SUITE A210",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023080",
            "telephone_number": "860-769-9866",
            "fax_number": "860-769-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "ARI",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "046233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ageller16314@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "35 Jolley Dr Ste 203",
            "city": "Bloomfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060024228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.