Individual provider Active NPI

Sarah G. Gerrish, M.D.

  • Family Medicine Physician
  • Kuna, ID
National Provider Identifier
1982832176
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-11292 Issued in ID
Practice address
708 E Wythe Creek CT Ste 103
Kuna, ID 83634-5005
Phone
(208) 922-5130
Fax
(208) 375-2217
NPI assigned
Jun 25, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-11292 ID Primary
Family Medicine Physician 207Q00000X MR-1052 ID

Addresses

Primary practice location

708 E Wythe Creek CT Ste 103
Kuna, ID 83634-5005

Mailing address

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Other practice location 1

2275 S Eagle Rd Ste 120
Meridian, ID 83642-2620
Phone (208) 514-2520

Other practice location 2

3101 E State St
Eagle, ID 83616-6232
Phone (208) 473-3500

Other practice location 3

3101 E State St
Eagle, ID 83616-6232
Phone (208) 473-3500

Other identifiers 1

IdentifierTypeStateIssuer
1982832176MedicaidID

Other names 1

  • Sarah Grace J Galinato Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20121106000662 ID Practitioner - Family Practice 0840441598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Health IncGroup PAC ID 6709986797, 106 clinicians

Practice addresses (Care Compare)

708 E Wythe Creek CT
Suite 103
Kuna, ID 83634-5005
Phone (208) 922-5130

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MR-1052IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Oct 31, 2012 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Oct 31, 2012 Accepting new patients
Full Circle Health, Inc. CurrentSince Sep 1, 2012 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

325 W Idaho St
Boise, ID 83702
Phone (208) 514-2525

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

6565 W Emerald St
Boise, ID 83704
Phone (208) 377-5055

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

3101 E State St
Eagle, ID 83616
Phone (208) 473-3100

215 W 35th St
Garden City, ID 83714
Phone (208) 384-5200

708 E Wythe Creek Ct
Ste 103
Kuna, ID 83634
Phone (208) 922-5130

2275 S Eagle Rd
Ste 120
Meridian, ID 83642
Phone (208) 514-2520

Interoperability endpoints

  • Direct secure messaging: sgerrish294253@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982832176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049251",
            "telephone_number": "208-514-2500",
            "fax_number": "208-375-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E WYTHE CREEK CT STE 103",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836345005",
            "telephone_number": "208-922-5130",
            "fax_number": "208-375-2217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2275 S Eagle Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836422620",
            "country_code": "US",
            "telephone_number": "208-514-2520",
            "fax_number": "208-375-2217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 E State St",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "ID",
            "postal_code": "836166232",
            "country_code": "US",
            "telephone_number": "208-473-3500",
            "fax_number": "208-473-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 E State St",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "ID",
            "postal_code": "836166232",
            "country_code": "US",
            "telephone_number": "208-473-3500",
            "fax_number": "208-473-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERRISH",
        "first_name": "SARAH",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-11292",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MR-1052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982832176",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GALINATO",
            "middle_name": "GRACE J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kuna, ID

Sources for this page

Verify at the official NPI Registry.