Active NPI
Rachel Noel Gerardy
- Physician Assistant
- Annandale, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C007403
- Practice address
- 7432 Little River Tpke
Annandale, VA 22003-3013 - Phone
- (703) 658-7060
- NPI assigned
- Oct 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | C007403 | MD | Primary |
Addresses
Primary practice location
7432 Little River Tpke
Annandale, VA 22003-3013
Mailing address
700 Geipe Road St. 200
Catonsville, MD 21228
Phone (410) 744-0661
Other practice location 1
3114 Kenni Ln
Dunkirk, MD 20754-3040
Phone (410) 286-3877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200221000078 | MD | Practitioner - Physician Assistant | 6406283050 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C007403 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nasseri Clinic of Arthritic & Rheumatic Diseases LLC | Current | Accepting new patients | |
| Nasseri Clinic of Arthritic and Rheumatic Diseases LLC | Past | Accepting new patients |
Locations
3333 N Calvert St
Ste 540
Baltimore, MD 21218
Phone (410) 235-8858
700 Geipe Rd
Ste 266
Catonsville, MD 21228
Phone (410) 971-0642
724 Maiden Choice Ln
Ste 204
Catonsville, MD 21228
Phone (410) 744-6544
700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038
9114 Philadelphia Rd
Ste 208
Rosedale, MD 21237
Phone (410) 687-5300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IGJGAA
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.
-
- Non-Pharmacy Dispensing Site
- Catonsville, MD
- NPI 1821286766
MD
-
- Clinic/Center
- Catonsville, MD
- NPI 1265188742
-
- Specialist
- Catonsville, MD
- NPI 1245397520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1730655812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 GEIPE ROAD ST. 200",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "21228",
"telephone_number": "410-744-0661",
"fax_number": "410-744-8036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7432 LITTLE RIVER TPKE",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033013",
"telephone_number": "703-658-7060"
}
],
"practiceLocations": [
{
"address_1": "3114 Kenni Ln",
"address_purpose": "LOCATION",
"city": "Dunkirk",
"state": "MD",
"postal_code": "207543040",
"country_code": "US",
"telephone_number": "410-286-3877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERARDY",
"first_name": "RACHEL",
"middle_name": "NOEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C007403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.