Individual provider Active NPI

Elba Yesi Gerena Maldonado, M.D.

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Bozeman, MT
National Provider Identifier
1821248089
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
License
MED-PHYS-LIC-114093 Issued in MT
Practice address
3400 Laramie Dr
Bozeman, MT 59718-2005
Phone
(406) 587-0122
Fax
(844) 656-2480
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X 140992 FL
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X 18332 PR
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X MED-PHYS-LIC-114093 MT Primary

Addresses

Primary practice location

3400 Laramie Dr
Bozeman, MT 59718-2005

Mailing address

3400 Laramie Dr
Bozeman, MT 59718-2005
Phone (406) 587-0122

Other practice location 1

310 Torre San Cristobal
Coto Laurel, PR 00780-2856
Phone (787) 840-2747

Other practice location 2

900 NW 17th St
Miami, FL 33136-1119
Phone (305) 243-6605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20160609000621 MT Practitioner - Physical Medicine and Rehabilitation 1951526946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Puerto Rico School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridger Orthopedics and Sports Medicine PCGroup PAC ID 4587627096, 69 clinicians

Practice addresses (Care Compare)

1450 Ellis St
Suite 201
Bozeman, MT 59715-8813
Phone (406) 587-0122

Hospital & facility affiliations

  • Livingston Healthcare Hospital, Livingston, MT, CCN 271317

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
60.05
Promoting interoperability
100
Improvement activities
40
Cost
76.39

Merit-based Incentive Payment System (MIPS)

Final score
74.05 of 100Reported as group
Quality
59.76
Promoting interoperability
99
Improvement activities
40
Cost
54.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140992FLMDNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
MED-PHYS-LIC-114093MTMDNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridger Orthopedics and Sports Medicine, PC CurrentSince Oct 1, 2022 Accepting new patients

Locations

3400 Laramie Dr
Bozeman, MT 59718
Phone (406) 586-5694

1450 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 522-1144

Interoperability endpoints

  • Direct secure messaging: elba.gerena.maldonado.1@12906.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4

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 4

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1821248089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LARAMIE DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182005",
            "telephone_number": "406-587-0122",
            "fax_number": "844-656-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LARAMIE DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182005",
            "telephone_number": "406-587-0122",
            "fax_number": "844-656-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Torre San Cristobal",
            "address_purpose": "LOCATION",
            "city": "Coto Laurel",
            "state": "PR",
            "postal_code": "007802856",
            "country_code": "US",
            "telephone_number": "787-840-2747",
            "fax_number": "787-651-3847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 NW 17th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361119",
            "country_code": "US",
            "telephone_number": "305-243-6605",
            "fax_number": "406-363-4356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERENA MALDONADO",
        "first_name": "ELBA",
        "middle_name": "YESI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "FL",
            "license": "140992",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "PR",
            "license": "18332",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-114093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.