NPIMap

Individual provider Active NPI

Maura Beth Gerdes, D.O.

  • Internal Medicine Physician
  • Kirksville, MO
National Provider Identifier
1043593841
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2010018322 Issued in MO
Practice address
1605 S. Baltimore St.
Suite B
Kirksville, MO 63501
Phone
(660) 665-3599
Fax
(660) 665-7576
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2010018322 MO Primary

Addresses

Primary practice location

1605 S. Baltimore St.
Suite B
Kirksville, MO 63501

Mailing address

1605 S. Baltimore St.
Suite B
Kirksville, MO 63501
Phone (660) 665-3599

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maura.gerdes.1@2245.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130916000270 MO Practitioner - Internal Medicine 3173767076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Practice addresses (Care Compare)

1611 S Baltimore St
Kirksville, MO 63501-4518
Phone (660) 665-7575

Hospital & facility affiliations

  • Northeast Regional Home Health Home health agency, Kirksville, MO, CCN 267296
  • Elara Caring Home health agency, Jefferson City, MO, CCN 267600
  • Hospice of Northeast Missouri Hospice, Kirksville, MO, CCN 261557
  • Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022
  • Hannibal Regional Hospital Hospital, Hannibal, MO, CCN 260025
  • Macon County Samaritan Memorial Hospital Hospital, Macon, MO, CCN 261313
  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions17
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010018322MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System, Inc CurrentSince Nov 29, 2021 Accepting new patients
Hannibal Regional Healthcare System, Inc Current Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Nov 29, 2021 Accepting new patients

Locations

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

1605 S Baltimore St
Ste B
Kirksville, MO 63501
Phone (660) 665-3599

1611 S Baltimore St
Kirksville, MO 63501
Phone (660) 372-9595

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: maura.gerdes.1@2245.direct.athenahealth.com
  • Direct secure messaging: maura.gerdes.p1@direct.cfmkv.nextgenshare.com

Organizations & group practices 3

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 10

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": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1043593841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 S. BALTIMORE ST.",
            "address_2": "SUITE B",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-665-3599",
            "fax_number": "660-665-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S. BALTIMORE ST.",
            "address_2": "SUITE B",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-665-3599",
            "fax_number": "660-665-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDES",
        "first_name": "MAURA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2010018322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maura.gerdes.1@2245.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "315 S. Osteopathy",
            "city": "Kirksville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.