Elliot Mark Gerber, MD
Individual provider Active NPI Cardiovascular Disease Physician · Paoli, PA
NPI 1073552147 · NPPES record last updated May 22, 2018
Key facts
- NPI
- 1073552147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- MD038356E (PA)
- Practice address
- 255 W Lancaster Ave
Medical Office BLDG II - Suite 328
Paoli, PA 19301-1763 - Phone
- (610) 647-2400
- Fax
- (610) 647-3902
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- New York Medical College, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Penn State Health Medical Group LLC
Practice addresses (Care Compare)
2160 State Rd
Suite 1700
Lancaster, PA 17601-1812
Phone (223) 287-8155
Hospital & facility affiliations
- Penn State Health Lancaster Medical Center
- Milton S Hershey Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20091210000029 | PA | Practitioner - Cardiovascular Disease (Cardiology) |
9537264759 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenixville Clinic Company LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Penn State Health Medical Group, LLC | Current |
Accepting new patients | |
| Penn State Health Medical Group, LLC | Current |
Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Phoenixville Clinic Company LLC | Current |
Accepting new patients | |
| Penn State Health Medical Group, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Main Line Cardiology Associates, PC | Cardiovascular Disease | Past |
Accepting new patients |
| Summit Cardiovascular Care LLC | Cardiovascular Disease | Past |
Accepting new patients |
Locations
446 N Reading Rd
Ste 302
Ephrata, PA 17522
Phone (717) 721-5868
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
140 N Pointe Blvd
Lancaster, PA 17601
Phone (717) 291-0700
2160 State Rd
Ste 1700
Lancaster, PA 17601
Phone (223) 287-8155
3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771
1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000
3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007
25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290
3 Hospital Dr
Ste 100
Lewisburg, PA 17837
Phone (570) 523-7625
140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
Interoperability endpoints
- egerber166797@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | MD038356E | PA | |
| Cardiovascular Disease Physician | 207RC0000X | MD038356E | PA | Yes |
Addresses
Primary practice location
255 W Lancaster Ave
Medical Office BLDG II - Suite 328
Paoli, PA 19301-1763
Mailing address
207 N Broad St
3Rd FLR
Philadelphia, PA 19107-1500
Phone (267) 479-4165
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001121691 | Medicaid | PA | |
| 444043GT6 | Other | PA | MEDICARE ID |
Other providers in Paoli, PA
- Kenneth Jay Gelman
- Genesis Rehab Services
- Laura Gennarelli
- Diana K. Georgeou
- Noreen Gerace
- Geriatric and Medical Services
- Karen M Giannone
- Jada Gilbert
- Ernest F Gillan
- William Gillespie
All providers in Paoli, PA · Cardiovascular Disease Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2018. 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.