GENESIS ELDERCARE PHYSICIAN SERVICES LLC
NPI 1164415196
Internal Medicine - Geriatric Medicine in Windsor, CT

Q: What is Genesis Eldercare Physician Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since August 24, 2005

1 EMERSON DR, KIMBERLY HALL NORTH, WINDSOR, CT 06095(860) 688-6443(860) 688-5230 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2019, Oct 18, 2018, Jul 10, 2018 and 1 more (4 updates tracked since 2018).

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About Genesis Eldercare Physician Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS ELDERCARE PHYSICIAN SERVICES LLC (NPI 1164415196) is a healthcare organization registered as a geriatric medicine in Windsor, Connecticut and active in the NPI registry since August 2005. The organization lists Eric Shapiro, Vp, Area Controller, as its authorized official.

NPPES Registry Identity

NPI1164415196

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameGENESIS ELDERCARE PHYSICIAN SERVICES LLC

Location Address1 EMERSON DR, KIMBERLY HALL NORTHWindsor, CT 06095

Mailing AddressPo Box 62946Baltimore, MD 21264-2946 · (410) 494-7607 · Fax (610) 925-7387

Phone(860) 688-6443

Fax(860) 688-5230

Organization SubpartNo

Authorized OfficialEric ShapiroVp, Area Controller · (410) 832-7790

Enumeration DateAugust 24, 2005

Last NPPES UpdateAugust 5, 20194 updates tracked since enumeration

✔ NPI 1164415196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X

1 EMERSON DR, Windsor, CT 06095

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Other Identifiers 2

Medicaid004195021CT

Medicaid004126919CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Eldercare Physician Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Genesis Eldercare Physician Services LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Sharon Farber, MD

Geriatric Medicine

NPI 1073596714

1 ABRAHMS BLVD
West Hartford, CT 06117

(860) 523-3800

✔ PECOS4.0 mi

Fielding Johnson, M.D.

Pulmonary Disease

NPI 1346336237

893 MAIN ST STE 202
East Hartford, CT 06108

(860) 528-4124

✔ PECOS4.9 mi

Anita Obidigbo, DNP, AGPCNP

Nurse Practitioner

NPI 1700558608

1 EMILY WAY
West Hartford, CT 06107

(860) 716-5445

✔ PECOS8.7 mi

James Gallagher, MD

Internal Medicine

NPI 1801817325

61 COOPER ST
Agawam, MA 01001

(413) 786-8000

✔ PECOS17 mi

Rabindranath Mahabir, M.D.

Internal Medicine

NPI 1346328044

100 OXFORD RD
Oxford, CT 06478

(203) 888-9940

✔ PECOS✔ Accepts Medicare37 mi

Benjamin Yeboah, MD

Internal Medicine

NPI 1174705636

20 YORK STREET, CB-2041
New Haven, CT 06510

(203) 688-4748

✔ PECOS✔ Accepts Medicare39 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Eldercare Physician Services LLC's NPI number?

The NPI number for Genesis Eldercare Physician Services LLC is 1164415196. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Genesis Eldercare Physician Services LLC located?

Genesis Eldercare Physician Services LLC is located at 1 Emerson Dr Kimberly Hall North, Windsor, CT 06095. The listed phone number is (860) 688-6443.

What is Genesis Eldercare Physician Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Genesis Eldercare Physician Services LLC enrolled in Medicare?

Yes. Genesis Eldercare Physician Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Eldercare Physician Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Genesis Eldercare Physician Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (3), Geriatric Medicine (1) and Nurse Practitioner (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Genesis Eldercare Physician Services LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Genesis Eldercare Physician Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genesis Eldercare Physician Services LLC was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.