Genesis Eldercare Physician Services LLC
NPI 1104819259 · Geriatric Medicine (Internal Medicine) Physician · Agawam, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Genesis Eldercare Physician Services LLC is a Geriatric Medicine (Internal Medicine) Physician organization in Agawam, MA (NPI 1104819259).
Provider details
- NPI number
- 1104819259
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eric Shapiro, Vp, Controller(410) 832-7790
- License
- 75866 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2019-08-05
Frequently asked questions
- What is Genesis Eldercare Physician Services LLC's NPI number?
- Genesis Eldercare Physician Services LLC's National Provider Identifier (NPI) is 1104819259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Eldercare Physician Services LLC?
- Genesis Eldercare Physician Services LLC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Genesis Eldercare Physician Services LLC located?
- Genesis Eldercare Physician Services LLC's practice location on file with NPPES is 464 Main St, Agawam, MA 01001.
- What is Genesis Eldercare Physician Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Genesis Eldercare Physician Services LLC is (413) 786-8000.
- Does Genesis Eldercare Physician Services LLC accept Medicare?
- Genesis Eldercare Physician Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Genesis Eldercare Physician Services LLC?
- The authorized official listed on Genesis Eldercare Physician Services LLC's NPPES record is Eric Shapiro, Vp, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Eldercare Physician Services LLC's NPI active?
- Yes — Genesis Eldercare Physician Services LLC's NPI (1104819259) is active in the NPPES registry as of the last update on 2019-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.