GEOFFREY ERIC GIDEON DO
NPI 1215686019
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment
2000 W BETHANY HOME RD, PHOENIX, AZ 85015(602) 246-5521 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Geoffrey Eric Gideon Do NPPES

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

GEOFFREY ERIC GIDEON DO (NPI 1215686019) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215686019
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGEOFFREY ERIC GIDEONCredential: DO
Location Address2000 W BETHANY HOME RDPhoenix, AZ 85015-2443
Mailing Address20000 N 57th Ave Rm E109Glendale, AZ 85308-6800 · (949) 690-8754
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
NPI 1215686019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2000 W BETHANY HOME RD, Phoenix, AZ 85015

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Geoffrey Eric Gideon Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426540527
PECOS Enrollment IDI20251125004188
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
2000 W BETHANY HOME RD
PHOENIX, AZ 85015
Family Medicine
2000 W BETHANY HOME RD, PHOENIX BAPTIST FAMILY MEDICINE RESIDENCY
PHOENIX, AZ 85015
Physician Assistant
2000 W BETHANY HOME RD
PHOENIX, AZ 85015
Pharmacist
2000 W BETHANY HOME RD
PHOENIX, AZ 85015
Student in an Organized Health Care Education/Training Program
2000 W BETHANY HOME RD
PHOENIX, AZ 85015
Family Medicine
2000 W BETHANY HOME RD
PHOENIX, AZ 85015
Student in an Organized Health Care Education/Training Program
2000 W BETHANY HOME RD
PHOENIX, AZ 85015
Family Medicine
2000 W BETHANY HOME RD
PHOENIX, AZ 85015

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 Geoffrey Gideon's NPI number?

The NPI number for Geoffrey Gideon is 1215686019. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Geoffrey Gideon located?

Geoffrey Gideon practices at 2000 W Bethany Home Rd, Phoenix, AZ 85015. The listed phone number is (602) 246-5521.

What is Geoffrey Gideon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Geoffrey Gideon enrolled in Medicare?

Yes. Geoffrey Gideon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Geoffrey Gideon was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.