Active NPI
Patrick D Gorman, MD
- Cardiovascular Disease Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- M-8388
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1103740 | Other | CIGNA | |
| 118682500 | Other | WY | EDS CONSULTEC, INC. |
| 46763 | Other | BC OF IDAHO | |
| 118682500 | Medicaid | WY | |
| 000010136417 | Other | BS OF IDAHO | |
| 060067151 | Other | RAILROAD MEDICARE | |
| 806232000 | Medicaid | ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lost Rivers Medical Center
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
| License | State | Type | Specialty |
|---|---|---|---|
| M8388 | ID | MD | Cardiovascular Disease Physician |
| F86110 | MD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mark'S Professional Services, LLC | Internal Medicine | Current | Accepting new patients |
| MVH BMC LLC | Family Medicine | Current | Accepting new patients |
| Teton Valley Health Care Inc | Family Medicine | Current | Accepting new patients |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Teton Cardiovascular and Pulmonary Lab,LLC | Current | Accepting new patients | |
| Teton Valley Health Care, Inc | Current | Accepting new patients | |
| Teton Valley Health Care Inc | Current | Accepting new patients | |
| Teton Valley Health Care, Inc | Family Medicine | Current | Accepting new patients |
| MVH BMC LLC | Family Medicine | Current | 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
- patrick.gorman.1@5838.direct.athenahealth.com
- https://api.platform.athenahealth.com/5838/brand/1/csg/1/fhir/r4
- 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.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Family Medicine Physician
- Blackfoot, ID
- NPI 1649699174
-
- Critical Access Hospital
- Driggs, ID
- NPI 1477809622
-
- Internal Medicine Physician
- Salt Lake City, UT
- NPI 1912925629
ID
-
- Physiological Laboratory
- Idaho Falls, ID
- NPI 1699784413
-
- Medicare Defined Swing Bed Hospital Unit
- Driggs, ID
- NPI 1053669598
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1073834529
-
- Interventional Cardiology Physician
- Idaho Falls, ID
- NPI 1346713302
-
- Family Medicine Physician
- Driggs, ID
- NPI 1316294531
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1285189548
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1114481447
-
- Critical Access Hospital
- Arco, ID
- NPI 1114925047
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Critical Access Hospital
- Driggs, ID
- NPI 1477809622
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.