Active NPI
Steve Gauerke, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- C151388
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101236850 | VA | MD | Military Health Care Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Diego Pathologists Medical Group Inc | Hematology | Current | 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- San Diego, CA
- NPI 1982619466
Hematology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.