Individual provider Active NPI

Andrei C Gasic, M.D.

  • Gastroenterology Physician
  • Albuquerque, NM
National Provider Identifier
1184623407
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD2021-0949 Issued in NM
Practice address
4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Phone
(505) 727-7800
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 126887 MT
Gastroenterology Physician 207RG0100X H2396 TX
Specialist 174400000X H2396 TX
Gastroenterology Physician 207RG0100X MD2021-0949 NM Primary
Gastroenterology Physician 207RG0100X MD219009 OR

Addresses

Primary practice location

4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219

Mailing address

PO Box 130549
Tyler, TX 75713-0549
Phone (903) 579-3931

Other practice location 1

1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 731-8888

Other practice location 2

320 Sunnyview Ln
Kalispell, MT 59901-3129
Phone (406) 752-7441

Other practice location 3

700 Olympic Plaza Cir Ste 420
Tyler, TX 75701-1952
Phone (903) 531-8950

Other practice location 4

3521 NW Samaritan Dr Ste 101
Corvallis, OR 97330-4744
Phone (541) 768-6119

Other identifiers 2

IdentifierTypeStateIssuer
MD2021-0949OtherNMSTATE LICENSE
H2396OtherTXLICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address agasic321410@samhealth.direct-ci.com
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Kalispell Regional Medical Center, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, MT, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20060201000602 TX Practitioner - Gastroenterology 3779550009 Reassigns benefits to 2 organizations
I20220425001991 NM Practitioner - Gastroenterology 3779550009 Reassigns benefits to 2 organizations
I20231103001096 MT Practitioner - Gastroenterology 3779550009 Reassigns benefits to 4 organizations
I20240520002042 OR Practitioner - Gastroenterology 3779550009 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Medical College of Pennsylvania, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Clinics of LongviewGroup PAC ID 7214016559, 38 clinicians
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

1009 N 4TH St
Suite a
Longview, TX 75601-4768
Phone (903) 757-3808

1144 N Broadway
Suite C
Billings, MT 59101-0115
Phone (406) 238-6380

2901 4TH St
Longview, TX 75605-5128
Phone (903) 758-1818

320 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 756-3526

3377 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000

3509 NW Samaritan Dr
Corvallis, OR 97330-3893

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

4705 Montgomery Blvd NE
Suite 201
Albuquerque, NM 87109-1233
Phone (505) 727-7833

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy42
Upper gastrointestinal (GI) endoscopy for acid reflux215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
126887MTMDGastroenterology Physician
MD2021-0949NMMDGastroenterology Physician
MD219009ORMDGastroenterology Physician
H2396TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital CurrentSince Jun 7, 2025 Accepting new patients
Las Cruces Physician Services LLC CurrentSince Sep 1, 2022 Accepting new patients
Billings Clinic Current Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jun 7, 2025 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince May 5, 2025 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Southwest Medical Associates, LLC CurrentSince May 27, 2022 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 7, 2025 Accepting new patients
Billings Clinic Gastroenterology CurrentSince Jan 24, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Southwest Medical Associates, LLC CurrentSince May 27, 2022 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Apr 6, 2025 Accepting new patients
Regional Clinics of Longview Gastroenterology CurrentSince Mar 5, 2012 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince May 5, 2025 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Apr 6, 2025 Accepting new patients
Peacehealth Medical Group CurrentSince Jun 10, 2024 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 7, 2025 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Albany General Hospital CurrentSince Jun 7, 2025 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jun 7, 2025 Accepting new patients
Benefis Hospitals Inc Specialist CurrentSince Sep 23, 2023 Accepting new patients
Peacehealth Medical Group CurrentSince Jun 10, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Albany General Hospital Current Accepting new patients
Starks Medical PastSince Jul 25, 2019 Accepting new patients
Familycare Associates,PA Past Accepting new patients
Diagnostic Clinic of Longview PA Gastroenterology Past Accepting new patients
Peacehealth Past Accepting new patients

Locations (25 of 27)

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

1144 N Broadway
Ste C
Billings, MT 59101
Phone (406) 238-6380

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

320 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 752-7441

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

4705 Montgomery Blvd NE
Ste 201
Albuquerque, NM 87109
Phone (505) 727-6550

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3521 NW Samaritan Dr
Ste 101
Corvallis, OR 97330
Phone (541) 768-6119

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

707 Hollybrook Dr
Ste 500
Longview, TX 75605
Phone (903) 232-8276

707 Hollybrook Dr
Ste 503
Longview, TX 75605
Phone (903) 291-6072

805 Medical Cir
Longview, TX 75605
Phone (903) 232-8100

701 E Marshall Ave
Ste 300
Longview, TX 75601
Phone (903) 315-2730

Interoperability endpoints

  • Direct secure messaging: agasic355221@ahs.direct-ci.com
  • Direct secure messaging: krmcmedicalrecords@krhdirect.org
  • FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1184623407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130549",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757130549",
            "telephone_number": "903-579-3931",
            "fax_number": "903-509-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091219",
            "telephone_number": "505-727-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 26th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055161",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Sunnyview Ln",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013129",
            "country_code": "US",
            "telephone_number": "406-752-7441",
            "fax_number": "406-257-0304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Olympic Plaza Cir Ste 420",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757011952",
            "country_code": "US",
            "telephone_number": "903-531-8950",
            "fax_number": "903-531-8964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3521 NW Samaritan Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973304744",
            "country_code": "US",
            "telephone_number": "541-768-6119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASIC",
        "first_name": "ANDREI",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MT",
            "license": "126887",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "H2396",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H2396",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "MD2021-0949",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD219009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD2021-0949",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "H2396",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agasic321410@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3521 NW Samaritan Dr Ste 101",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973304744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "320 Sunnyview Ln",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.