Individual provider Active NPI

George S Jerkovich, M.D.

  • Psychiatry Physician
  • Salina, KS
National Provider Identifier
1578549200
Registry record updated May 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-21760 Issued in KS
Practice address
400 S Santa Fe Ave
Salina, KS 67401-4144
Phone
(785) 452-6904
Fax
(785) 452-6940
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-21760 KS Primary

Addresses

Primary practice location

400 S Santa Fe Ave
Salina, KS 67401-4144

Mailing address

400 S Santa Fe Ave
Salina, KS 67401-4144
Phone (785) 452-7269

Other identifiers 1

IdentifierTypeStateIssuer
100178890CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
79.94
Promoting interoperability
100
Improvement activities
40
Cost
71.45

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: george.jerkovich@srhcdirect.com
  • Direct secure messaging: george.jerkovich@khindirect.org

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432512000000",
    "number": "1578549200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014144",
            "telephone_number": "785-452-7269",
            "fax_number": "785-452-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014144",
            "telephone_number": "785-452-6904",
            "fax_number": "785-452-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERKOVICH",
        "first_name": "GEORGE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2015-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-21760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100178890C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2015; 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.

Verify at the official NPI Registry.