Individual provider Active NPI

Kathleen Gerace, DO

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1740346550
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3082 Issued in AZ
Practice address
6401 E Thomas Rd
Ste 103
Scottsdale, AZ 85251-6078
Phone
(480) 941-4400
Fax
(480) 941-1100
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3082 AZ Primary

Addresses

Primary practice location

6401 E Thomas Rd
Ste 103
Scottsdale, AZ 85251-6078

Mailing address

6401 E Thomas Rd
Ste 103
Scottsdale, AZ 85251-6078
Phone (480) 941-4400

Other identifiers 2

IdentifierTypeStateIssuer
378522OtherAZAHCCCS
AZ0803970OtherAZBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051102000443 AZ Practitioner - Internal Medicine 8527085117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6401 E Thomas Rd
Suite 103
Scottsdale, AZ 85251-6078

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Gerace Dopc Specialist CurrentSince Feb 8, 2007 Accepting new patients

Locations

6401 E Thomas Rd
Ste 103105
Scottsdale, AZ 85251

6401 E Thomas Rd
Ste 103
Scottsdale, AZ 85251
Phone (480) 717-0809

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1740346550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 E THOMAS RD",
            "address_2": "STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516078",
            "telephone_number": "480-941-4400",
            "fax_number": "480-941-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 E THOMAS RD",
            "address_2": "STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516078",
            "telephone_number": "480-941-4400",
            "fax_number": "480-941-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERACE",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "3082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "378522",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0803970",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.