Individual provider Active NPI

Malhar S Gore, MD

  • Family Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1982766705
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.29054 Issued in IA
Practice address
3419 16TH Ave SW Ste 100
Cedar Rapids, IA 52404-2335
Phone
(319) 206-9561
Fax
(319) 423-7978
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 MD.29054 IA Primary

Addresses

Primary practice location

3419 16TH Ave SW Ste 100
Cedar Rapids, IA 52404-2335

Mailing address

PO Box 746870
Atlanta, GA 30374-6870
Phone (312) 733-9730

Other practice location 1

400 E Polk St
Washington, IA 52353-1254
Phone (319) 863-3900

Other identifiers 2

IdentifierTypeStateIssuer
18932OtherIABCBS
4072074MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20120820000924 IA Practitioner - Family Practice 8820245244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Florida College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of Southeastern Iowa IncGroup PAC ID 4486562527, 24 clinicians
Oak Street Health Physicians Group of Iowa LLCGroup PAC ID 7113373168, 11 clinicians

Practice addresses (Care Compare)

1706 W Agency Rd
West Burlington, IA 52655-1667
Phone (319) 768-5858

408 W Van Weiss Blvd
RM 159
West Burlington, IA 52655-1500
Phone (319) 768-5858

4841 SE 14TH St
Des Moines, IA 50320-1616
Phone (515) 415-4081

545 Ramsey St
West Burlington, IA 52655-1113
Phone (319) 768-5858

Hospital & facility affiliations

  • Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057
  • St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.29054IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Southeastern Iowa, Inc CurrentSince Mar 7, 2025 Accepting new patients
Community Health Centers of Southeastern Iowa Inc CurrentSince Mar 7, 2025 Accepting new patients
Oak Street Health Physicians Group of Iowa LLC Family Medicine CurrentSince Dec 6, 2025 Accepting new patients
Eastern Iowa Health Center Family Medicine Past Accepting new patients

Locations

3419 16th Ave SW
Ste 100
Cedar Rapids, IA 52404
Phone (319) 206-9561

4841 SE 14th St
Des Moines, IA 50320
Phone (515) 287-2115

1706 W Agency Rd
West Burlington, IA 52655
Phone (319) 768-5858

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1982766705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746870",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746870",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 16TH AVE SW STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524042335",
            "telephone_number": "319-206-9561",
            "fax_number": "319-423-7978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Polk St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IA",
            "postal_code": "523531254",
            "country_code": "US",
            "telephone_number": "319-863-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORE",
        "first_name": "MALHAR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD.29054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18932",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4072074",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.