NPIMap

Individual provider Active NPI

Bernadette K Gyano, MD

  • Family Medicine Physician
  • Sac City, IA
National Provider Identifier
1720059173
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32935 Issued in IA
Practice address
301 Highland Ave
Sac City, IA 50583-2411
Phone
(712) 662-7119
NPI assigned
Feb 1, 2006
Last updated
Dec 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32935 IA Primary

Addresses

Primary practice location

301 Highland Ave
Sac City, IA 50583-2411

Mailing address

24 N 9TH St
Suite a
Fort Dodge, IA 50501-3909
Phone (515) 574-6890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000145 IA Practitioner - Family Practice 1759425952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

802 Kenyon Rd
Fort Dodge, IA 50501-5740

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32935IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loring Hospital CurrentSince Dec 11, 2016 Accepting new patients
Loring Hospital CurrentSince Dec 11, 2016 Accepting new patients
Trinity Regional Medical Center CurrentSince Dec 24, 2017 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Loring Hospital Current Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1010 15th St N
Humboldt, IA 50548
Phone (515) 332-2015

211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105

301 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105

Interoperability endpoints

  • Direct secure messaging: bgyano162460@direct.unitypoint.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1720059173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N 9TH ST",
            "address_2": "SUITE A",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013909",
            "telephone_number": "515-574-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHLAND AVE",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505832411",
            "telephone_number": "712-662-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYANO",
        "first_name": "BERNADETTE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "32935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sac City, IA

Sources for this page

Verify at the official NPI Registry.