Individual provider Active NPI

Andrew Michael Gellady, M.D.

  • Pediatrics Physician
  • New Port Richey, FL
National Provider Identifier
1750374732
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0026499 Issued in FL
Practice address
4738 Grand Blvd
Suite C
New Port Richey, FL 34652-5170
Phone
(727) 807-7800
Fax
(727) 807-7878
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME0026499 FL Primary

Addresses

Primary practice location

4738 Grand Blvd
Suite C
New Port Richey, FL 34652-5170

Mailing address

4738 Grand Blvd
Suite C
New Port Richey, FL 34652-5170
Phone (727) 807-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101208000550 FL Practitioner - Pediatric Medicine 8820285497

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0026499FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phamhasell PA Pediatrics Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1750374732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 GRAND BLVD",
            "address_2": "SUITE C",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525170",
            "telephone_number": "727-807-7800",
            "fax_number": "727-807-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4738 GRAND BLVD",
            "address_2": "SUITE C",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525170",
            "telephone_number": "727-807-7800",
            "fax_number": "727-807-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLADY",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0026499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.