Mark A Gerard, MD
Individual provider Active NPI Internal Medicine Physician · Burbank, CA
NPI 1023036670 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1023036670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- G61489 (CA)
- Practice address
- 201 S Buena Vista St
Suite # 250
Burbank, CA 91505-4569 - Phone
- (818) 562-3200
- Fax
- (818) 562-3205
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Michigan Medical School, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 S Buena Vista St
Suite 250
Burbank, CA 91505-4520
Phone (818) 562-3200
Hospital & facility affiliations
- Pristine Home Health Inc
- Providence Saint Joseph Medical Ctr
- Burbank Healthcare & Rehab
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090112000393 | CA | Practitioner - Internal Medicine | 1254494651 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G61489 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark a. Gerard M.D., a Medical Corporation | Internal Medicine | Current |
Accepting new patients |
| Providence Health System - Southern California | Past | Accepting new patients |
Locations
201 S Buena Vista St
Ste 250
Burbank, CA 91505
Phone (818) 562-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G61489 | CA | Yes |
Addresses
Primary practice location
201 S Buena Vista St
Suite # 250
Burbank, CA 91505-4569
Mailing address
201 S Buena Vista St
Suite # 250
Burbank, CA 91505-4569
Phone (818) 562-3200
Other providers in Burbank, CA
- George Orloff, MD Inc
- George P Teitelbaum MD Inc
- George S Tabor MD Inc
- Gillian Geraci
- Gerald Page Inc
- Jennifer Gerardo
- Richard C. Gerardo
- Ann Marie Gerber
- Ronald Morris Gerecht
- Pamela Kathlyn Gerhard-Johnson
All providers in Burbank, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.