Active NPI
Malhar S Gore, MD
- Family Medicine Physician
- Cedar Rapids, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.29054
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18932 | Other | IA | BCBS |
| 4072074 | Medicaid | IA |
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
Enrollment records 1
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
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
- St Lukes Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.29054 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of Southeastern Iowa, Inc | Current | Accepting new patients | |
| Community Health Centers of Southeastern Iowa Inc | Current | Accepting new patients | |
| Oak Street Health Physicians Group of Iowa LLC | Family Medicine | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- West Burlington, IA
- NPI 1255339750
-
- Primary Care Clinic/Center
- Des Moines, IA
- NPI 1407551120
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- West Burlington, IA
- NPI 1144044637
-
- Family Medicine Physician
- Cedar Rapids, IA
- NPI 1578753703
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.
- 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.