Individual provider Active NPI

Gagandeep S Gurm, MD

  • Cardiovascular Disease Physician
  • Hanover, PA
National Provider Identifier
1194947119
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD450880 Issued in PA
Practice address
310 Stock St
Suite 3
Hanover, PA 17331-2276
Phone
(717) 637-1738
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X MD450880 PA
Cardiovascular Disease Physician 207RC0000X MD450880 PA Primary

Addresses

Primary practice location

310 Stock St
Suite 3
Hanover, PA 17331-2276

Mailing address

310 Stock St
Suite 3
Hanover, PA 17331-2276
Phone (717) 637-1738

Other identifiers 1

IdentifierTypeStateIssuer
102928808MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ggurm64437@phsdirect.pinnaclehealth.org

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
I20140718001895 PA Practitioner - Cardiovascular Disease (Cardiology) 2163580176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1600 6TH Ave
York, PA 17403-2626
Phone (717) 849-5576

1701 Innovation Dr
York, PA 17408-8815
Phone (717) 843-8623

1703 Innovation Dr
York, PA 17408-8815

2201 Brunswick Dr
Hanover, PA 17331-8350

250 Fame Ave
Hanover, PA 17331-1587

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 316-3711

310 Stock St
Hanover, PA 17331-2276

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

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
MD450880PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Apr 30, 2018 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2018 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Apr 30, 2018 Accepting new patients
Inpatient Specialists PA Past Accepting new patients
Forest Park Specialists, LLP Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

310 Stock St
Ste 3
Hanover, PA 17331

1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 637-0470

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

1600 6th Ave
Ste 105
York, PA 17403
Phone (717) 815-2562

1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623

Interoperability endpoints

  • Direct secure messaging: ggurm289422@upmc.direct-ci.com

Organizations & group practices 7

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1194947119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 STOCK ST",
            "address_2": "SUITE 3",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312276",
            "telephone_number": "717-637-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STOCK ST",
            "address_2": "SUITE 3",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312276",
            "telephone_number": "717-637-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURM",
        "first_name": "GAGANDEEP",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "PA",
            "license": "MD450880",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD450880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102928808",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggurm64437@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "310 Stock St",
            "address_2": "Suite 3",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173312276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.