Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Dennis V Geronimo, MD

Individual provider Family Medicine Physician · NPI 1215132949

Mark Dennis V Geronimo, MD is an Internal Medicine in Pascoag, Rhode Island. Qualified in 2000, 26 years ago. Practices with State of Rhode Island, a 10-clinician group and accepts Medicare assignment. Licensed in Connecticut, Illinois, Missouri and Rhode Island.

Years since qualifying
26
Licensed in
CT, IL, MO, RI
In the registry since
2007
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2090 Wallum Lake Rd
Pascoag, RI 02859-1813
Phone: (401) 567-5400
Fax: (401) 567-4003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD14813 (RI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2010024512 (MO)
Hospitalist Physician Taxonomy 208M00000X · Licence 036128606 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 52895 (CT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036128606 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 52895 (CT)

Record details

NPI number1215132949
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2007
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address2090 Wallum Lake Rd, Pascoag, RI 02859-1813

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice State Of Rhode Island — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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