Active NPI
Elba Yesi Gerena Maldonado, M.D.
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- License
- MED-PHYS-LIC-114093
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1450 Ellis St
Suite 201
Bozeman, MT 59715-8813
Phone (406) 587-0122
Hospital & facility affiliations
- Livingston Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.93 of 100
- Quality
- 60.05
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.39
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.05 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 140992 | FL | MD | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician |
| MED-PHYS-LIC-114093 | MT | MD | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridger Orthopedics and Sports Medicine, PC | Current | 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
- elba.gerena.maldonado.1@12906.direct.athenahealth.com
- 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.
-
- Orthopaedic Surgery Physician
- Bozeman, MT
- NPI 1750310926
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Livingston, MT
- NPI 1245222306
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.