Active NPI
David J Gorecki, MD
- Cardiovascular Disease Physician
- La Porte, IN
National Provider Identifier
1316923444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01038951
- Practice address
- 901 Lincolnway
Suite 310
La Porte, IN 46350-3430 - Phone
- (219) 362-7506
- Fax
- (219) 362-1459
- NPI assigned
- Dec 20, 2005
- Last updated
- Sep 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036 070820 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 01038951 | IN | Primary |
Addresses
Primary practice location
901 Lincolnway
Suite 310
La Porte, IN 46350-3430
Mailing address
PO Box 1690
La Porte, IN 46352-1690
Phone (219) 326-2312
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10016541A | Medicaid | IN | |
| 000000514107 | Other | IN | ANTHEM, BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | David.Gorecki@laportehosp.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.68 of 100
- Quality
- 76.2
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036 070820 | IL | MD | Cardiovascular Disease Physician |
Interoperability endpoints
- david.gorecki@laportehosp.cernerdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1316923444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1690",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463521690",
"telephone_number": "219-326-2312",
"fax_number": "219-326-2584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 LINCOLNWAY",
"address_2": "SUITE 310",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503430",
"telephone_number": "219-362-7506",
"fax_number": "219-362-1459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORECKI",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036 070820",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01038951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10016541A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM, BCBS",
"identifier": "000000514107",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "David.Gorecki@laportehosp.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "901 Lincolnway",
"address_2": "Suite 310",
"city": "LA Porte",
"state": "IN",
"country_code": "US",
"postal_code": "463503430",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.