Individual provider Active NPI

Michael Gerdis, MD

  • Gastroenterology Physician
  • Yonkers, NY
National Provider Identifier
1871567925
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
185309 Issued in NY
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01465407MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000246 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7618958257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
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

ProcedureNumber of procedures
Colonoscopy42
Upper gastrointestinal (GI) endoscopy for acid reflux16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine of New York University Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Mount Sinai School of Medicine of New York University CurrentSince Dec 1, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.