NPIMap

Individual provider Active NPI

Charles Anthony Gerk, M.D.

  • Family Medicine Physician
  • Sterling, CO
National Provider Identifier
1194992768
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50154 Issued in CO
Practice address
1405 S 8TH Ave
Suite 103
Sterling, CO 80751-4563
Phone
(970) 522-3304
NPI assigned
May 13, 2008
Last updated
Sep 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 50154 CO Primary

Addresses

Primary practice location

1405 S 8TH Ave
Suite 103
Sterling, CO 80751-4563

Mailing address

1405 S 8TH Ave
Suite 103
Sterling, CO 80751-4563
Phone (970) 522-3304

Other identifiers 1

IdentifierTypeStateIssuer
80874204MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000638 CO Practitioner - Family Practice 5890835813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Colorado Family Medicine Associates PCGroup PAC ID 2062404031, 5 clinicians

Practice addresses (Care Compare)

1405 S 8TH Ave
Suite 103
Sterling, CO 80751-4560
Phone (970) 740-3304

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy51
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions40
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50154COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Colorado Family Medicine Associates, P.C. Family Medicine CurrentSince Jan 15, 2012 Accepting new patients
Fossil Rim Emergency Physicians PLLC Past Accepting new patients
Steve Longacre M.D. PA Past Accepting new patients
Sterling Regional Medcenter Past Accepting new patients

Locations

1405 S 8th Ave
Ste 103
Sterling, CO 80751
Phone (970) 522-3304

Organizations & group practices 5

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 5

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1194992768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S 8TH AVE",
            "address_2": "SUITE 103",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514563",
            "telephone_number": "970-522-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S 8TH AVE",
            "address_2": "SUITE 103",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514563",
            "telephone_number": "970-522-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERK",
        "first_name": "CHARLES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "50154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80874204",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

Verify at the official NPI Registry.