Individual provider Active NPI

Rachel Noel Gerardy

  • Physician Assistant
  • Annandale, VA
National Provider Identifier
1730655812
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C007403 Issued in MD
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

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
C007403MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nasseri Clinic of Arthritic & Rheumatic Diseases LLC CurrentSince Jan 7, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.