Individual provider Active NPI

Elliot Mark Gerber, MD

  • Cardiovascular Disease Physician
  • Paoli, PA
National Provider Identifier
1073552147
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD038356E Issued in 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
Last updated
May 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD038356E PA
Cardiovascular Disease Physician 207RC0000X MD038356E PA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20091210000029 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 9537264759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
New York Medical College, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2160 State Rd
Suite 1700
Lancaster, PA 17601-1812
Phone (223) 287-8155

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Dec 21, 2020 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Mar 27, 2023 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Mar 27, 2023 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Oct 1, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Dec 21, 2020 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Phoenixville Clinic Company LLC Cardiovascular Disease CurrentSince Oct 1, 2022 Accepting new patients
Summit Cardiovascular Care LLC Cardiovascular Disease PastSince Nov 1, 2009 Accepting new patients
Main Line Cardiology Associates, PC Cardiovascular Disease PastSince Apr 3, 2002 Accepting new patients
Penn State Health Medical Group, LLC 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

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 100
Lewisburg, PA 17837
Phone (570) 523-7625

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: egerber166797@wellspan.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1073552147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BROAD ST",
            "address_2": "3RD FLR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071500",
            "telephone_number": "267-479-4165",
            "fax_number": "215-463-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "address_2": "MEDICAL OFFICE BLDG II - SUITE 328",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-647-2400",
            "fax_number": "610-647-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "ELLIOT",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD038356E",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD038356E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.