Active NPI
Thomas J Geller, MD
- Neurology with Special Qualifications in Child Neurology Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- ME136254
- Practice address
- 601 5TH St S Ste 510
St Petersburg, FL 33701-4804 - Phone
- (727) 767-8181
- Fax
- (727) 767-2590
- NPI assigned
- Jul 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | ME136254 | FL | Primary |
Addresses
Primary practice location
601 5TH St S Ste 510
St Petersburg, FL 33701-4804
Mailing address
601 5TH St S Ste 510
St Petersburg, FL 33701-4804
Phone (727) 767-8181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- St. Louis College of Physicians and Surgeons, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 5TH St S
Suite 5
St Petersburg, FL 33701-4804
Phone (727) 727-4429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physician Services, Inc. | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
2345 Bobcat Village Center Rd
North Port, FL 34288
Phone (941) 257-2800
601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429
601 5th St S
Ste 510
St Petersburg, FL 33701
Phone (727) 767-3117
601 5th St S
St Petersburg, FL 33701
Phone (727) 767-3333
800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762
33 Medical Center Dr
Morgantown, WV 26505
Phone (304) 293-0822
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
Interoperability endpoints
- tgeller612672@direct.ynhh.org
- tgeller733720@direct.hopkinsmedicine.org
Organizations & group practices 7
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.
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1336997253
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1962428813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 5TH ST S STE 510",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014804",
"telephone_number": "727-767-8181",
"fax_number": "727-767-2590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 5TH ST S STE 510",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014804",
"telephone_number": "727-767-8181",
"fax_number": "727-767-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLER",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "FL",
"license": "ME136254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.