Coral Gerdts, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

12-0311 Issued in KS

Practice address

300 Utah St
Hiawatha, KS 66434-2314

Phone

(785) 742-2131

NPI assigned

Jul 13, 2006

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mitchell County Memorial HospitalGroup PAC ID 5890603070, shared by 6 NPIs, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mitchell County Regional Health Hospital, Osage, IA, CCN 161323
• Bellin Health Oconto Hospital Hospital, Oconto, WI, CCN 521356

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mi.mhn.him@direct.2.mycarefile.org

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.

• Mitchell County Memorial Hospital

  • Critical Access Hospital
  • Osage, IA
  • NPI 1033291927
  Medicare reassignment NPD
• Mitchell County Memorial Hospital

  dba Mitchell County Regional Health Center

  • Certified Registered Nurse Anesthetist
  • Osage, IA
  • NPI 1407925522
  Medicare reassignment NPD
• Gerdts Podiatric LLC

  • Podiatrist
  • Osage, IA
  • NPI 1588893911
  Authorized official Same address or phone
• Mitchell County Memorial Hospital

  dba Mitchell County Regional Health Center

  • Family Medicine Physician
  • Osage, IA
  • NPI 1154487544
  NPD
• Surgical Associates of NE KS

  • Surgery Physician
  • Hiawatha, KS
  • NPI 1912930660
  NPD (past)
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)
• Mitchell County Memorial Hospital

  dba Mitchell County Regional Health Center -Osage Clinic

  • Rural Health Clinic/Center
  • Osage, IA
  • NPI 1588756191
  NPD (past)

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

• Mitchell County Memorial Hospital

  • Critical Access Hospital
  • Osage, IA
  • NPI 1033291927
  Care Compare affiliation
• Oconto Hospital & Medical Center Inc

  dba Emplify Health Oconto Hospital

  • Critical Access Hospital
  • Oconto, WI
  • NPI 1356373302
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1285659714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-9770",
            "fax_number": "952-442-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UTAH ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342314",
            "telephone_number": "785-742-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDTS",
        "first_name": "CORAL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "12-0311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF KS",
            "identifier": "114052",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100369010A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "25014",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "coral.gerdts@trinityhealthia.medicity.net",
            "affiliation": "N",
            "endpointDescription": "MercyOne North Iowa Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "620 N 8th St",
            "city": "Osage",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504611456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MI.MHN.HIM@direct.2.mycarefile.org",
            "affiliation": "N",
            "endpointDescription": "Mitchell County Regional Health Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "620 N 8th St",
            "city": "Osage",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504611456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Freedom Healthcare LLC
• Ethan Graham Froeschl, PHARMD
• Cristina Grace Gamer-Brown, LMSW
• Blair Michelle Geiger, LMSW
• William Gene Geisendorf, D.D.S.
• June Marie Gerety, M.S., CCC-SLP
• Maggie Ryan Gilliland, LMLP
• Melissa J Gilliland
• Rachael Marie Gladhart
• Heather Michelle Gliem, PA-C

• Podiatrist in Hiawatha, KS
• Providers in Hiawatha, KS by specialty
• Podiatrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.