Individual provider Active NPI

Steve Gauerke, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fairfax, VA
National Provider Identifier
1023009834
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
C151388 Issued in CA
Practice address
3161 Colchester Brook LN
Fairfax, VA 22031-2609
Phone
(703) 280-4544
Fax
(202) 782-3217
NPI assigned
Nov 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X 0101236850 VA
Hematology (Pathology) Physician 207ZH0000X C151388 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X C151388 CA Primary

Addresses

Primary practice location

3161 Colchester Brook LN
Fairfax, VA 22031-2609

Mailing address

3161 Colchester Brook LN
Fairfax, VA 22031-2609
Phone (703) 280-4544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230731002118 CA Practitioner - Pathology 7911368469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 691-7185

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101236850VAMDMilitary Health Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Pathologists Medical Group Inc Hematology CurrentSince May 20, 2023 Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

7592 Metropolitan Dr
Ste 405
San Diego, CA 92108
Phone (619) 325-8726

7592 Metropolitan Dr
San Diego, CA 92108
Phone (619) 376-6653

5700 Southwyck Blvd
Toledo, OH 43614

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1023009834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 COLCHESTER BROOK LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312609",
            "telephone_number": "703-280-4544",
            "fax_number": "202-782-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 COLCHESTER BROOK LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312609",
            "telephone_number": "703-280-4544",
            "fax_number": "202-782-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUERKE",
        "first_name": "STEVE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "VA",
            "license": "0101236850",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "CA",
            "license": "C151388",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "C151388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.