NPIMap

Individual provider Active NPI

Paul A Gerlach, MD

  • Cardiovascular Disease Physician
  • Idaho Falls, ID
National Provider Identifier
1215025648
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD14220 Issued in TN
Practice address
2985 Cortez Ave
Idaho Falls, ID 83404-7554
Phone
(208) 523-3373
Fax
(208) 523-8746
NPI assigned
Oct 11, 2006
Last updated
Feb 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD14220 TN Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD14220 TN

Addresses

Primary practice location

2985 Cortez Ave
Idaho Falls, ID 83404-7554

Mailing address

2985 Cortez Ave
Idaho Falls, ID 83404-7554
Phone (208) 523-3373

Other identifiers 1

IdentifierTypeStateIssuer
1215025648OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20130207000380 ID Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2668626284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians

Practice addresses (Care Compare)

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14220TNMDCritical Care Medicine (Internal Medicine) Physician
14220TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MVH BMC LLC CurrentSince Aug 2, 2016 Accepting new patients
MVH BMC LLC Current Accepting new patients
MVH BMC LLC CurrentSince Aug 2, 2016 Accepting new patients
Mountain View Hospital LLC CurrentSince Oct 30, 2023 Accepting new patients
St Mark's Professional Services, LLC Internal Medicine CurrentSince Jul 19, 2014 Accepting new patients
Methodist Healthcare - Memphis Hospitals Cardiovascular Disease Past Accepting new patients
Mountain View Hospital Physician Organization Past Accepting new patients
Specialty Physician Group LLC Cardiovascular Disease Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Cardiovascular Specialist , P.C. Past Accepting new patients

Locations

1441 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-2600

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

2985 Cortez Ave
Idaho Falls, ID 83404
Phone (208) 522-4600

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691

450 E Main St
Fl 2
Rexburg, ID 83440

210 S Emerson Ave
Shelley, ID 83274
Phone (208) 357-7404

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1215025648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2985 CORTEZ AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047554",
            "telephone_number": "208-523-3373",
            "fax_number": "208-523-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 CORTEZ AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047554",
            "telephone_number": "208-523-3373",
            "fax_number": "208-523-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLACH",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD14220",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "MD14220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215025648",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.