Organization Active NPI

Sunil Gera M.D.P.a.

  • Specialist
  • Jonesboro, AR
National Provider Identifier
1891000550
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E-1626 Issued in AR
Legal business name
SUNIL GERA M.D.P.A.
Practice address
2601 Southwest SQ
Jonesboro, AR 72401-5969
Phone
(870) 910-6666
Fax
(870) 931-1114
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Anita Gera
Title
Office Manager
Phone
(870) 910-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E-1626 AR Primary

Addresses

Primary practice location

2601 Southwest SQ
Jonesboro, AR 72401-5969

Mailing address

2601 Southwest SQ
Jonesboro, AR 72401-5969
Phone (870) 910-6666

Other identifiers 1

IdentifierTypeStateIssuer
140696001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100903000523 AR Part B Supplier - Clinic/Group Practice 0244354751 Receives reassigned benefits from 1 practitioner
Practice locations: Jonesboro, AR

National Provider Directory

National Provider Directory

Locations

2601 Southwest Sq
Jonesboro, AR 72401
Phone (870) 802-3511

2508 Southwest Sq
Jonesboro, AR 72401
Phone (870) 910-6666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1891000550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SOUTHWEST SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015969",
            "telephone_number": "870-910-6666",
            "fax_number": "870-931-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SOUTHWEST SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015969",
            "telephone_number": "870-910-6666",
            "fax_number": "870-931-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL GERA M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "GERA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-910-6666"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "E-1626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140696001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.