Individual provider Active NPI

Gervais Patrick Chokote Moche, MD

  • Family Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1356458723
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48709 Issued in MN
Practice address
870 Grand Ave
Saint Paul, MN 55105-3291
Phone
(651) 326-5650
Fax
(651) 326-5671
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48709 MN Primary

Addresses

Primary practice location

870 Grand Ave
Saint Paul, MN 55105-3291

Mailing address

870 Grand Ave
Saint Paul, MN 55105-3291
Phone (651) 326-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20061220000215 MN Practitioner - Family Practice 4284633215 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1390 University Ave W
Saint Paul, MN 55104-4001
Phone (651) 232-4800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48709MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Aug 1, 2007 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Jun 20, 2010 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Clinics CurrentSince Jun 20, 2010 Accepting new patients
Fairview Health Services CurrentSince Jun 20, 2010 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince Jun 20, 2010 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Family Medicine Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Aug 1, 2007 Accepting new patients

Locations

6936 Pine Arbor Dr S
Ste 100
Cottage Grove, MN 55016
Phone (651) 326-5800

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

1215 Town Centre Dr
Eagan, MN 55123
Phone (651) 326-1515

14688 Everton Ave N
Ste 101
Hugo, MN 55038
Phone (651) 275-4706

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

4000 Central Ave NE
Saint Anthony, MN 55421
Phone (763) 572-5700

1983 Sloan Pl
Ste 1
Saint Paul, MN 55117
Phone (651) 326-5700

1099 Helmo Ave N
Ste 100
Saint Paul, MN 55128
Phone (651) 326-5300

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

870 Grand Ave
Saint Paul, MN 55105
Phone (651) 326-5650

1690 University Ave W
Ste 370
Saint Paul, MN 55104
Phone (651) 232-5321

797 7th St E
Saint Paul, MN 55106
Phone (651) 326-4900

2680 Snelling Ave N
Ste 200
Saint Paul, MN 55113
Phone (651) 326-1600

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

2155 Ford Pkwy
Ste A
Saint Paul, MN 55116
Phone (651) 696-5000

980 Rice St
Saint Paul, MN 55117
Phone (651) 326-9020

2900 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 471-5600

480 Highway 96 E
Vadnais Heights, MN 55127
Phone (651) 326-5900

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Interoperability endpoints

  • Direct secure messaging: gmoche112570@fairview.direct-ci.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1356458723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053291",
            "telephone_number": "651-326-5650",
            "fax_number": "651-326-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053291",
            "telephone_number": "651-326-5650",
            "fax_number": "651-326-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCHE",
        "first_name": "GERVAIS PATRICK",
        "middle_name": "CHOKOTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "48709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.