Individual provider Active NPI

Ashraf Adel Samy Gerges, M.D.

  • Family Medicine Physician
  • Onawa, IA
National Provider Identifier
1003874264
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29853 Issued in IA
Practice address
1600 Diamond St
Onawa, IA 51040-1548
Phone
(712) 423-2311
Fax
(712) 423-3500
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29853 IA Primary

Addresses

Primary practice location

1600 Diamond St
Onawa, IA 51040-1548

Mailing address

2213 Grand Ave
Des Moines, IA 50312-5305
Phone (515) 237-3974

Other practice location 1

2200 NW 26th St
Owatonna, MN 55060-5503
Phone (507) 451-1120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agerges568867@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040706000719 IA Practitioner - Emergency MedicinePractitioner - Family Practice 1355326943 Reassigns benefits to 1 organization
I20190208002232 MN Practitioner - Emergency Medicine 1355326943 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29853IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unitypoint Health - Marshalltown CurrentSince Aug 20, 2017 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Aug 20, 2017 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jan 14, 2019 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
Mayo Clinic Health System-Lake City CurrentSince Jan 14, 2019 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Lake City Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jan 14, 2019 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
CCM Health Current Accepting new patients
Burgess Health Center Past Accepting new patients
Burgess Health Center Family Medicine Past Accepting new patients

Locations

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

32021 County 24 Blvd
Cannon Falls, MN 55009
Phone (507) 263-6000

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

2200 NW 26th St
Owatonna, MN 55060
Phone (507) 451-1120

Interoperability endpoints

  • Direct secure messaging: agerges568867@ehrdirect.mayoclinicmsg.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1003874264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DIAMOND ST",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401548",
            "telephone_number": "712-423-2311",
            "fax_number": "712-423-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 NW 26th St",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550605503",
            "country_code": "US",
            "telephone_number": "507-451-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERGES",
        "first_name": "ASHRAF",
        "middle_name": "ADEL SAMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "29853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agerges568867@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "2200 NW 26th St",
            "city": "Owatonna",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550605503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Onawa, IA

Sources for this page

Verify at the official NPI Registry.