Individual provider Active NPI

Patrick D Gorman, MD

  • Cardiovascular Disease Physician
  • Idaho Falls, ID
National Provider Identifier
1295735769
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M-8388 Issued in ID
Practice address
2985 Cortez Ave
Idaho Falls, ID 83404-2985
Phone
(208) 523-3373
Fax
(208) 523-8746
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X M8388 ID
Cardiovascular Disease Physician 207RC0000X F86110 MD
Cardiovascular Disease Physician 207RC0000X M-8388 ID Primary

Addresses

Primary practice location

2985 Cortez Ave
Idaho Falls, ID 83404-2985

Mailing address

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

Other identifiers 7

IdentifierTypeStateIssuer
1103740OtherCIGNA
118682500OtherWYEDS CONSULTEC, INC.
46763OtherBC OF IDAHO
118682500MedicaidWY
000010136417OtherBS OF IDAHO
060067151OtherRAILROAD MEDICARE
806232000MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20040507000624 ID Practitioner - Cardiovascular Disease (Cardiology)Practitioner - General Practice 1254320054 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: General Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians
Lost Rivers Medical CenterGroup PAC ID 7810807427, shared by 4 NPIs, 16 clinicians

Practice addresses (Care Compare)

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

551 Highland Dr
Arco, ID 83213-5003
Phone (208) 252-7654

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8388IDMDCardiovascular Disease Physician
F86110MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mark'S Professional Services, LLC Internal Medicine CurrentSince Feb 15, 2014 Accepting new patients
MVH BMC LLC Family Medicine CurrentSince Aug 2, 2016 Accepting new patients
Teton Valley Health Care Inc Family Medicine Current Accepting new patients
Mountain View Hospital LLC CurrentSince Oct 30, 2023 Accepting new patients
Teton Cardiovascular and Pulmonary Lab,LLC CurrentSince May 1, 2005 Accepting new patients
Teton Valley Health Care, Inc CurrentSince Feb 1, 2014 Accepting new patients
Teton Valley Health Care Inc CurrentSince Feb 1, 2014 Accepting new patients
Teton Valley Health Care, Inc Family Medicine CurrentSince Feb 1, 2014 Accepting new patients
MVH BMC LLC Family Medicine CurrentSince Aug 2, 2016 Accepting new patients
Mountain View Hospital Physician Organization Past Accepting new patients
Radial First Holdings Interventional Cardiology Past Accepting new patients
Teton Valley Health Care Inc Family Medicine Past Accepting new patients

Locations

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

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

283 N 1st St
Driggs, ID 83422
Phone (208) 354-2302

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

2001 S Woodruff Ave
Ste 12B
Idaho Falls, ID 83404
Phone (208) 529-2498

2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000

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

Interoperability endpoints

  • Direct secure messaging: patrick.gorman.1@5838.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5838/brand/1/csg/1/fhir/r4
  • Direct secure messaging: patrick.gorman.1@11894.direct.athenahealth.com

Organizations & group practices 12

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 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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1295735769",
    "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": "834042985",
            "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": "834042985",
            "telephone_number": "208-523-3373",
            "fax_number": "208-523-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "PATRICK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ID",
            "license": "M8388",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "F86110",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ID",
            "license": "M-8388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1103740",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS CONSULTEC, INC.",
            "identifier": "118682500",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF IDAHO",
            "identifier": "46763",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118682500",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF IDAHO",
            "identifier": "000010136417",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060067151",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806232000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.