Active NPI
Susan R Gerkin, MD
- Nephrology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 200100875
- Practice address
- 800 Rose St
MN 564
Lexington, KY 40536-0298 - Phone
- (859) 323-5049
- Fax
- (859) 323-0232
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 200100875 | NC | Primary |
Addresses
Primary practice location
800 Rose St
MN 564
Lexington, KY 40536-0298
Mailing address
2333 Alumni Park Place
Suite 200
Lexington, KY 40517-4012
Phone (859) 218-5677
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129FU | Other | NC | BCBS NC |
| 89129FU | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200100875 | NC | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHG Xxxiii, LLC | Current | Accepting new patients | |
| BHG Lviii, LLC | Current | Accepting new patients | |
| BHG XXXV, LLC | Current | Accepting new patients | |
| BHG XXXV, LLC | Current | Accepting new patients | |
| BHG Xxxiv, LLC | Current | Accepting new patients | |
| BHG XXV, LLC | Current | Accepting new patients | |
| BHG Lviii, LLC | Current | Accepting new patients | |
| BHG Xxiv, LLC | Current | Accepting new patients | |
| BHG Lviii, LLC | Current | Accepting new patients | |
| BHG Xxvi, LLC | Current | Accepting new patients | |
| Center for Behavioral Health Kentucky LLC | Past | Accepting new patients |
Locations
1000 Ace Dr
Rm 100
Berea, KY 40403
Phone (859) 756-5006
785 Cumberland Gap Pkwy
Ste 3
Corbin, KY 40701
Phone (606) 526-9348
2645 Leitchfield Rd
Ste 104
Elizabethtown, KY 42701
Phone (270) 234-8180
118 Grand Vue Plz
Ste 118
Hazard, KY 41701
Phone (606) 487-1646
455 Park Pl
Ste 130
Lexington, KY 40511
Phone (859) 276-0533
2705 Olivet Church Rd
Ste 600
Paducah, KY 42001
Phone (270) 443-0096
628 Jefferson Ave
Paintsville, KY 41240
Phone (214) 365-6132
255 Church St
Ste 204
Pikeville, KY 41501
Phone (606) 432-4104
5001 Spring Vly
Ste 600E
Dallas, TX 75244
Organizations & group practices 11
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Hazard, KY
- NPI 1417696543
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Paintsville, KY
- NPI 1568808640
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Pikeville, KY
- NPI 1710323894
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Hazard, KY
- NPI 1417393414
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Paducah, KY
- NPI 1982027199
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Corbin, KY
- NPI 1578986345
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lexington, KY
- NPI 1386067254
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Pikeville, KY
- NPI 1144969270
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Richmond, KY
- NPI 1174363733
-
- Methadone Clinic
- Berea, KY
- NPI 1558895631
-
- Methadone Clinic
- Louisville, KY
- NPI 1871027854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1679565477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 ALUMNI PARK PLACE",
"address_2": "SUITE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405174012",
"telephone_number": "859-218-5677",
"fax_number": "859-257-7899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"address_2": "MN 564",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360298",
"telephone_number": "859-323-5049",
"fax_number": "859-323-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERKIN",
"first_name": "SUSAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "200100875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "129FU",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89129FU",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.