Individual provider Active NPI

Herman Gist, M.D.

  • Cardiovascular Disease Physician
  • Washington, DC
National Provider Identifier
1275528234
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD20174 Issued in DC
Practice address
106 Irving St NW
Suite 1500 North Tower
Washington, DC 20010-2927
Phone
(202) 829-2834
Fax
(202) 882-1274
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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 MD20174 DC Primary
Interventional Cardiology Physician 207RI0011X MD20174 DC

Addresses

Primary practice location

106 Irving St NW
Suite 1500 North Tower
Washington, DC 20010-2927

Mailing address

11140 Rockville Pike
Suite 100, #335
Rockville, MD 20852-3106
Phone (202) 557-4046

Other identifiers 1

IdentifierTypeStateIssuer
022484200MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040420001696 DC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Radiology 2466448113

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
78.83
Promoting interoperability
99
Improvement activities
40
Cost
79.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20174DCMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1275528234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE",
            "address_2": "SUITE 100, #335",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523106",
            "telephone_number": "202-557-4046",
            "fax_number": "202-882-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "SUITE 1500 NORTH TOWER",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-829-2834",
            "fax_number": "202-882-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIST",
        "first_name": "HERMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD20174",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "DC",
            "license": "MD20174",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022484200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.