Individual provider Active NPI

Steve L Gerber, M.D.

  • Ophthalmology Physician
  • South Bend, IN
National Provider Identifier
1073598835
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01037745 Issued in IN
Practice address
707 N Michigan St
Ste 210
South Bend, IN 46601-1067
Phone
(574) 233-2114
Fax
(574) 288-8921
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01037745A IN
Ophthalmology Physician 207W00000X 01037745 IN Primary

Addresses

Primary practice location

707 N Michigan St
Ste 210
South Bend, IN 46601-1067

Mailing address

707 N Michigan St
Ste 210
South Bend, IN 46601-1067
Phone (574) 233-2114

Other identifiers 1

IdentifierTypeStateIssuer
100092960AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgerber@aom.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100818001015 IN Practitioner - Ophthalmology 7517912348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01037745INMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ophthalmology of Michiana LLC Ophthalmology CurrentSince Jan 1, 1995 Accepting new patients
Advanced Ophthalmology of Michiana LLC CurrentSince Jan 1, 1995 Accepting new patients

Locations

707 N Michigan St
Ste 210
South Bend, IN 46601
Phone (219) 233-2114

Interoperability endpoints

  • Direct secure messaging: sgerber1147490@direct.trinity-health.org

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1073598835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N MICHIGAN ST",
            "address_2": "STE 210",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011067",
            "telephone_number": "574-233-2114",
            "fax_number": "574-288-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MICHIGAN ST",
            "address_2": "STE 210",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011067",
            "telephone_number": "574-233-2114",
            "fax_number": "574-288-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "STEVE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01037745A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01037745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092960A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgerber@aom.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "707 N Michigan St",
            "address_2": "Ste 210",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466011067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.