Individual provider Active NPI

Geoffrey Joseph Roelant, M.D.

  • Surgery Physician
  • Eau Claire, WI
National Provider Identifier
1720247257
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
70896-20 Issued in WI
Practice address
719 W Hamilton Ave
Eau Claire, WI 54701-6968
Phone
(715) 832-1044
Fax
(715) 832-0520
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME116971 FL
Surgery Physician 208600000X 70896-20 WI Primary

Addresses

Primary practice location

719 W Hamilton Ave
Eau Claire, WI 54701-6968

Mailing address

719 W Hamilton Ave
Eau Claire, WI 54701-6968
Phone (715) 832-1044

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address groelant248590@ewd.direct.hshs.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731000943 WI Practitioner - General Surgery 9133363849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Maryland School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Surgical, S.C.Group PAC ID 8325106040, 5 clinicians

Practice addresses (Care Compare)

719 W Hamilton Ave
Suite C
Eau Claire, WI 54701-6970
Phone (715) 832-1044

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70896-20WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Port Charlotte Hma Physician Management LLC Surgery CurrentSince Dec 1, 2018 Accepting new patients
Port Charlotte Hma Physician Management LLC CurrentSince Dec 1, 2018 Accepting new patients
Evergreen Surgical, S.C. Surgery CurrentSince Jul 29, 2019 Accepting new patients

Locations

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

1641 Tamiami Trl
Ste 2
Pt Charlotte, FL 33948
Phone (941) 255-3499

713 E Marion Ave
Ste 125
Punta Gorda, FL 33950
Phone (941) 205-2242

1220 3rd Ave W
Durand, WI 54736
Phone (715) 642-4211

719 W Hamilton Ave
Eau Claire, WI 54701
Phone (715) 832-1044

719 W Hamilton Ave
Ste C
Eau Claire, WI 54701
Phone (715) 832-1044

Interoperability endpoints

  • Direct secure messaging: groelant29623@oakleafmed.gardenplot.direct-ci.com
  • Direct secure messaging: groelant248590@ewd.direct.hshs.org

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.

Hospital & facility affiliations 3

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1720247257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W HAMILTON AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016968",
            "telephone_number": "715-832-1044",
            "fax_number": "715-832-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W HAMILTON AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016968",
            "telephone_number": "715-832-1044",
            "fax_number": "715-832-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROELANT",
        "first_name": "GEOFFREY",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME116971",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "70896-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "groelant248590@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "719 W Hamilton Ave",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.