NPI Details
DR. Maria Socorro Ambulo Geronimo, MD is an internal medicine in Matthews, NC with 30 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Maria Socorro Ambulo Geronimo, MD NPI is 1811097967. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
630 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC
ZIP 28105-322
Phone: (704) 495-6020
The NPI 1811097967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, denosumab, 1 mg (HCPCS:J0897)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
- Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
- Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
- Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Annual depression screening, 15 minutes (HCPCS:G0444)
- Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
- Vitamin d-3 level (HCPCS:82306)
- Hemoglobin a1c level (HCPCS:83036)
- Thyroxine (thyroid chemical), free (HCPCS:84439)
- Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Ferritin (blood protein) level (HCPCS:82728)
- Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Urine microalbumin (protein) level (HCPCS:82043)
- Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
- Uric acid level, blood (HCPCS:84550)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
- Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
- Automated urinalysis test (HCPCS:81003)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Pneumococcal vaccine, 23-valent (HCPCS:90732)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
- Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS:G0403)
The enumeration date for this NPI number is 9/25/2006 and was last updated on 1/24/2023.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207RG0300X | Internal Medicine | Geriatric Medicine | 2012-00713 | NORTH CAROLINA | No |
| 2 | 207RG0300X | Internal Medicine | Geriatric Medicine | 25MA07879400 | NEW JERSEY | No |
| 3 | 207R00000X | Internal Medicine | | 2012-00713 | NORTH CAROLINA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 5920787 | MEDICAID | NORTH CAROLINA | |
| 2 | 1811097967 | MEDICAID | NORTH CAROLINA | |
| 3 | 0114821 | MEDICAID | NEW JERSEY | |
| 4 | NC1594 | MEDICAID | SOUTH CAROLINA | |
| 5 | 25MA07879400 | OTHER | NEW JERSEY | STATE LICENSE |
