Active NPI
Todd M Gerkin, M.D.
- Surgery Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 36711
- Practice address
- 1002 N Church St
Suite 302
Greensboro, NC 27401-1439 - Phone
- (336) 387-8100
- Fax
- (336) 387-8202
- NPI assigned
- Dec 6, 2005
- Last updated
- Nov 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 36711 | NC | Primary |
Addresses
Primary practice location
1002 N Church St
Suite 302
Greensboro, NC 27401-1439
Mailing address
1002 N Church St
Suite 302
Greensboro, NC 27401-1439
Phone (336) 387-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 893511K | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Virginia School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1002 N Church St
Greensboro, NC 27401-1439
Phone (919) 684-8111
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36711 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients |
Locations
2905 Crouse Ln
Burlington, NC 27215
Phone (336) 538-2494
2905 Crouse Ln
Ste 201
Burlington, NC 27215
Phone (336) 387-8100
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
1002 N Church St
Ste 302
Greensboro, NC 27401
Phone (336) 387-8100
1126 N Church St
Ste 203
Greensboro, NC 27401
Phone (336) 235-0944
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- tgerkin515519@direct.medicine.duke.edu
- toddgerkin@ccspa.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1013991744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 N CHURCH ST",
"address_2": "SUITE 302",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011439",
"telephone_number": "336-387-8100",
"fax_number": "336-387-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 N CHURCH ST",
"address_2": "SUITE 302",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011439",
"telephone_number": "336-387-8100",
"fax_number": "336-387-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERKIN",
"first_name": "TODD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "36711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "893511K",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.