Individual provider Active NPI

Susan R Gerkin, MD

  • Nephrology Physician
  • Lexington, KY
National Provider Identifier
1679565477
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
200100875 Issued in NC
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

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
129FUOtherNCBCBS NC
89129FUMedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000072 KY Practitioner - Nephrology 8628046281 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200100875NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Xxxiii, LLC CurrentSince Mar 1, 2022 Accepting new patients
BHG Lviii, LLC CurrentSince Oct 9, 2025 Accepting new patients
BHG XXXV, LLC CurrentSince Mar 1, 2022 Accepting new patients
BHG XXXV, LLC CurrentSince Mar 1, 2022 Accepting new patients
BHG Xxxiv, LLC CurrentSince Mar 1, 2022 Accepting new patients
BHG XXV, LLC CurrentSince Mar 1, 2022 Accepting new patients
BHG Lviii, LLC CurrentSince Oct 9, 2025 Accepting new patients
BHG Xxiv, LLC CurrentSince Mar 1, 2022 Accepting new patients
BHG Lviii, LLC Current Accepting new patients
BHG Xxvi, LLC CurrentSince Mar 1, 2022 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.

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

Verify at the official NPI Registry.