Individual provider Active NPI

Gerard J Kerbleski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Albuquerque, NM
National Provider Identifier
1366448839
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
209 Issued in NM
Practice address
8300 Carmel Ave NE Ste 501
Albuquerque, NM 87122-3125
Phone
(505) 717-1274
Fax
(505) 717-1879
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 209 NM Primary

Addresses

Primary practice location

8300 Carmel Ave NE Ste 501
Albuquerque, NM 87122-3125

Mailing address

8300 Carmel Ave NE Ste 501
Albuquerque, NM 87122-3125
Phone (505) 717-1274

Other identifiers 3

IdentifierTypeStateIssuer
000S5316MedicaidNM
NM015369OtherNMBLUE CROSS BLUE SHIELD
42079OtherNMPRESBYTERIAN HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20100126000890 NM Practitioner - Podiatry 6406885698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandia Foot and Ankle of Albuquerque PCGroup PAC ID 8123435864, 5 clinicians

Practice addresses (Care Compare)

8300 Carmel Ave NE
Albuquerque, NM 87122-3125
Phone 5057171274105

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue48
Removal of skin lesions19
Removal of nail tissue639
Removal or shaving of skin growth286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sandia Foot & Ankle of Albuquerque PC Foot & Ankle Surgery CurrentSince Jun 2, 2021 Accepting new patients
Podiatry Associates of New Mexico LTD Foot & Ankle Surgery Past Accepting new patients

Locations

8300 Carmel Ave NE
Ste 501
Albuquerque, NM 87122
Phone (505) 243-7600

8224 Louisiana Blvd NE
Ste C
Albuquerque, NM 87113
Phone (505) 299-1996

Interoperability endpoints

  • Direct secure messaging: gerard.kerbleski.1@23790.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1366448839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223125",
            "telephone_number": "505-717-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223125",
            "telephone_number": "505-717-1274",
            "fax_number": "505-717-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBLESKI",
        "first_name": "GERARD",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-03-26",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000S5316",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM015369",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "42079",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.