Gemilo Resaba, M.D.

Key facts

NPI

1760427199

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

036085111 (IL)

Practice address

201 Bailey LN
Benton, IL 62812-1969

Phone

(618) 439-3161

Fax

(618) 439-7126

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 5

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.

• Franklin Hospital District Internal Medicine Physician · Benton, IL · NPI 1255369427
  Medicare reassignment Care Compare group NPD IL · INTERNAL MEDICINE
• Franklin Hospital District Critical Access Hospital · Benton, IL · NPI 1699778951
  Medicare reassignment Care Compare group NPD IL
• Franklin Hospital District Rural Health Clinic/Center · Christopher, IL · NPI 1134991292
  Care Compare group NPD
• Franklin Hospital District Rural Health Clinic/Center · Benton, IL · NPI 1033140488
  Care Compare group
• Franklin Hospital District Rural Health Clinic/Center · West Frankfort, IL · NPI 1376861385
  Care Compare group

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franklin Hospital District Critical Access Hospital · Benton, IL · NPI 1699778951
  Care Compare affiliation Hospital
• Good Samaritan Regional Health Center General Acute Care Hospital · Mount Vernon, IL · NPI 1609897339
  Care Compare affiliation Hospital
• LHCG Xxxvii, LLC Home Health Agency · Marion, IL · NPI 1740527407
  Care Compare affiliation Home health agency
• Residential Home Health of Southern Illinois, LLC Home Health Agency · Marion, IL · NPI 1235556838
  Care Compare affiliation Home health agency
• SSM Health Businesses Home Health Agency · Mount Vernon, IL · NPI 1295798403
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Family Practice
Also: Internal Medicine

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings Inc (1,992 clinicians)
Franklin Hospital District (32 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• LHC-Illinois Home Health Care Home health agency · Marion, IL · CCN 147716
• Residential Home Health of Southern Illinois, LLC Home health agency · Marion, IL · CCN 147112
• SSM Health at Home Health-Illinois Home health agency · Mount Vernon, IL · CCN 147088
• Franklin Hospital Hospital · Benton, IL · CCN 141321
• Good Samaritan Regional HLTH Center Hospital · Mount Vernon, IL · CCN 140046

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gemiloresaba@franklinhhc.allscriptsdirect.net
• Direct secure messaging: geresaba@yourcarecommunity.org

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 1, 2012.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1760427199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BAILEY LN",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628121969",
            "telephone_number": "618-439-3161",
            "fax_number": "618-439-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BAILEY LN",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628121969",
            "telephone_number": "618-439-3161",
            "fax_number": "618-439-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESABA",
        "first_name": "GEMILO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036085111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085111002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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