Organization Active NPI

Chawki Gerges MD Inc

Doing business as Gerges Medical Clinic, Inc.

  • Internal Medicine Physician
  • Visalia, CA
National Provider Identifier
1710923529
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66288 Issued in CA
Legal business name
CHAWKI GERGES MD INC
Doing business as
Gerges Medical Clinic, Inc.
Practice address
131 S Tamarack St
Suite a
Visalia, CA 93291
Phone
(559) 636-1168
Fax
(559) 636-2768
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Dr. Chawki A. Gerges, M.D.NPI 1982600946
Title
Owner
Phone
(559) 636-1168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A66288 CA Primary

Addresses

Primary practice location

131 S Tamarack St
Suite a
Visalia, CA 93291

Mailing address

PO Box 8109
Visalia, CA 93290-8109
Phone (559) 636-1168

Other names 1

  • Gerges Medical Clinic, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110720000815 CA Part B Supplier - Clinic/Group Practice 4082882915 Receives reassigned benefits from 2 practitioners
Practice locations: Visalia, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1055901Chawki Gerges, MD Inc131 S Tamarack St Ste a, Visalia, CA 93291Certificate of waiverJun 28, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFFABA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1710923529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8109",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932908109",
            "telephone_number": "559-636-1168",
            "fax_number": "559-636-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S TAMARACK ST",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93291",
            "telephone_number": "559-636-1168",
            "fax_number": "559-636-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAWKI GERGES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "GERGES",
        "authorized_official_first_name": "CHAWKI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-636-1168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerges Medical Clinic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.