MARK DENNIS V GERONIMO (MD) – Family Medicine Physician, NPI 1215132949

MARK DENNIS V GERONIMO (MD) is a healthcare provider. based in New london, Connecticut. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 2010024512 (MO). The NPI Number for MARK DENNIS V GERONIMO (MD) is 1215132949

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MARK DENNIS V GERONIMO (MD)
NPI
1215132949
Phone
(860) 442-0711
Address
365 MONTAUK AVE
Enumeration Date
21 June 2007
Last Update Date
22 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014623666
Graduation Year
2000 (26 years ago)
PAC ID
4082738596
Group Practice PAC ID
8123929742
Professional Enrollment ID
I20141114001672
Address ID
RI029203001CR111XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:18State licenses:3Digital endpointsOther names

3,447 INTERNAL MEDICINE in CT

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Provider Addresses for MARK DENNIS V GERONIMO (MD)

  • Lawrence+Memorial Hospital, 365, Montauk Avenue, Montauk Avenue Historic District, New London, New London County, Connecticut, 06320, United States

    NEW LONDON, CT 063204700

    Phone: (860) 442-0711

    Fax: (413) 543-7962

    Type: Mailing

  • 326 WASHINGTON ST

    NORWICH, CT 063602740

    Phone: (860) 442-0711

    Fax: (413) 543-7962

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140627002024IFamily PracticeCTTBD
I20141114001672IInternal MedicineRITBD
I20230131001533IHospitalistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes332324$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes300285$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 06320)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123929742View full group profile
NameSpecialtyState
O P H T H A L M O L O G YRI
P S Y C H I A T R YRI
-RI
Physician AssistantMA
Infectious DiseaseMA
Pulmonary DiseaseRI
Psychiatry, Geriatric PsychiatryCT

Reviews

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Frequently asked questions

What identifier follows MARK DENNIS V GERONIMO (MD) across health systems?
The NPI 1215132949 uniquely identifies MARK DENNIS V GERONIMO (MD) in U.S. healthcare data.
Does the public listing show MARK DENNIS V GERONIMO (MD) as active?
MARK DENNIS V GERONIMO (MD)'s NPI record reflects an active status in NPPES.
What does the directory say MARK DENNIS V GERONIMO (MD) does?
Insurance directories may phrase it differently, but here MARK DENNIS V GERONIMO (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MARK DENNIS V GERONIMO (MD)?
MARK DENNIS V GERONIMO (MD) shows a connection to New London, Connecticut in registry-derived data.
Why is information missing for MARK DENNIS V GERONIMO (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.