Active NPI
Michael Gerdis, MD
- Gastroenterology Physician
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 185309
- Practice address
- 2422 Central Park Ave
Yonkers, NY 10710 - Phone
- (914) 779-2995
- Fax
- (914) 779-3266
- NPI assigned
- Feb 15, 2006
- Last updated
- Sep 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 185309 | NY | |
| Gastroenterology Physician | 207RG0100X | 185309 | NY | Primary |
Addresses
Primary practice location
2422 Central Park Ave
Yonkers, NY 10710
Mailing address
2422 Central Park Ave
Yonkers, NY 10710-1125
Phone (914) 779-2995
Other practice location 1
750 Kimball Ave
Yonkers, NY 10704-1531
Phone (914) 237-6763
Other practice location 2
1010 N Broadway
Yonkers, NY 10701-1330
Phone (914) 968-3535
Other practice location 3
280 North Central Park Avenue
Suite 70
Hartsdale, NY 10530
Phone (914) 666-7900
Other practice location 4
116 Fifth Ave
Pelham, NY 10803-1504
Phone (914) 813-3135
Other practice location 5
141 S Central Park Ave
Ste 208
Hartsdale, NY 10530
Phone (914) 948-3627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01465407 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Gastroenterology
- Education
- New York University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1086 N Broadway
Yonkers, NY 10701-1112
Phone (914) 968-3535
341 Central Park Ave
Scarsdale, NY 10583-1301
Phone (914) 370-1700
750 Kimball Ave
Yonkers, NY 10704-1531
Phone (914) 237-6763
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 42 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai School of Medicine of New York University | Internal Medicine | Current | Accepting new patients |
| Mount Sinai School of Medicine of New York University | Current | Accepting new patients | |
| Doc Medical Practice of Yonkers PC | Internal Medicine | Past | Accepting new patients |
| Docs Physicians Affiliated With Bimc | Internal Medicine | Past | Accepting new patients |
Locations
116 Fifth Ave
Pelham, NY 10803
Phone (914) 738-0005
1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535
2422 Central Park Ave
Yonkers, NY 10710
Phone (914) 779-2995
750 Kimball Ave
Yonkers, NY 10704
Phone (914) 237-6763
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mgerdis65516@northwell.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Scarsdale, NY
- NPI 1023334927
-
- Orthopaedic Surgery Physician
- Yonkers, NY
- NPI 1336878651
-
- General Practice Physician
- New York, NY
- NPI 1821016692
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tender Loving Care, an Amedisys Company
- Home Health Agency
- Carle Place, NY
- NPI 1932262383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1871567925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 CENTRAL PARK AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107101125",
"telephone_number": "914-779-2995",
"fax_number": "914-779-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2422 CENTRAL PARK AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "10710",
"telephone_number": "914-779-2995",
"fax_number": "914-779-3266"
}
],
"practiceLocations": [
{
"address_1": "750 Kimball Ave",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107041531",
"country_code": "US",
"telephone_number": "914-237-6763",
"fax_number": "914-237-7347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 N Broadway",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107011330",
"country_code": "US",
"telephone_number": "914-968-3535",
"fax_number": "914-968-3566",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "280 NORTH CENTRAL PARK AVENUE",
"address_2": "SUITE 70",
"address_purpose": "LOCATION",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "10530",
"country_code": "US",
"telephone_number": "914-666-7900",
"fax_number": "914-666-7901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "116 Fifth Ave",
"address_purpose": "LOCATION",
"city": "Pelham",
"state": "NY",
"postal_code": "108031504",
"country_code": "US",
"telephone_number": "914-813-3135",
"fax_number": "914-813-3138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "141 S CENTRAL PARK AVE",
"address_2": "STE 208",
"address_purpose": "LOCATION",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "10530",
"country_code": "US",
"telephone_number": "914-948-3627",
"fax_number": "914-948-3513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERDIS",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "185309",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "185309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01465407",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.