NPIMap

Individual provider Active NPI

Andrew S Gerken, MD

  • Family Medicine Physician
  • Bucyrus, OH
National Provider Identifier
1134185051
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301502408 Issued in MI
Practice address
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone
(419) 562-4677
Fax
(419) 562-0987
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301502408 MI
Family Medicine Physician 207Q00000X 35082874 OH
Family Medicine Physician 207Q00000X 4301502408 MI Primary

Addresses

Primary practice location

629 N Sandusky Ave
Bucyrus, OH 44820-1821

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 10

IdentifierTypeStateIssuer
P00205797OtherOHRR MEDICARE - GREENFIELD
P00263123OtherOHRR MEDICARE FOR BUCYRUS
P00143218OtherOHRR MEDICARE FOR MADISON
000000339750OtherOHBCBS FOR MADISON
000000384551OtherOHBCBS FOR GALION
000000346397OtherOHBCBS FOR GREENFIELD
2466700MedicaidOH
P00306579OtherRR
000000362624OtherOHBCBS FOR BUCYRUS
000000384661OtherBCBS GALION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040526000307 OH Practitioner - Family PracticePractitioner - Emergency Medicine 6204817265 Reassigns benefits to 3 organizations
I20200611002201 MI Practitioner - Emergency MedicinePractitioner - Family Practice 6204817265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Ohio State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillsdale Emergency Physicians, P.C.Group PAC ID 0648605766, 15 clinicians
Professional Emergency Physicians PCGroup PAC ID 2769384213, 79 clinicians

Practice addresses (Care Compare)

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-5125

433 W High St
Bryan, OH 43506-1690
Phone (419) 636-1131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301502408MIMDEmergency Medicine Physician
35082874OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Regional Health Center Emergency Medicine CurrentSince Mar 20, 2018 Accepting new patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Oct 20, 2025 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Mar 20, 2018 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Apr 15, 2015 Accepting new patients
Blanchard Valley Regional Health Center Family Medicine Current Accepting new patients
Hillsdale Emergency Physicians, P.C. Emergency Medicine CurrentSince May 10, 2020 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Dec 16, 2014 Accepting new patients
KB Management Services LLC Emergency Medicine Past Accepting new patients
Madison Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Hocking Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Allendale County Hospital Board Past Accepting new patients

Locations

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

629 N Sandusky Ave
Bucyrus, OH 44820
Phone (419) 562-4677

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

601 State Route 664 N
#966
Logan, OH 43138
Phone (740) 380-8000

210 N Main St
London, OH 43140
Phone (740) 845-7343

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

Organizations & group practices 11

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 4

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1134185051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201821",
            "telephone_number": "419-562-4677",
            "fax_number": "419-562-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERKEN",
        "first_name": "ANDREW",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301502408",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35082874",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301502408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - GREENFIELD",
            "identifier": "P00205797",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE FOR BUCYRUS",
            "identifier": "P00263123",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE FOR MADISON",
            "identifier": "P00143218",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FOR MADISON",
            "identifier": "000000339750",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FOR GALION",
            "identifier": "000000384551",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FOR GREENFIELD",
            "identifier": "000000346397",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2466700",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "P00306579",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FOR BUCYRUS",
            "identifier": "000000362624",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GALION",
            "identifier": "000000384661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

Verify at the official NPI Registry.