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GERALD KIRK M.D. NPI 1417973777


NPI Information

NPI: 1417973777
Provider Name: GERALD KIRK, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: FACULTY PHYSICIANS AND SURGEONS OF LLUSM

PECOS Registration: Yes

Address:
11234 ANDERSON ST
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-8311
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Gerald Kirk, M.D. is a diagnostic radiology radiology in Loma Linda, CA with 57 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Gerald Kirk, M.D. NPI is 1417973777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1967

The provider's business location address is:

11234 ANDERSON ST
LOMA LINDA, CA
ZIP 92354-804
Phone: (909) 558-8311

The NPI 1417973777 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Nuclear medicine study with CT imaging whole body (HCPCS:78816)

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyG15364CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G153640MEDICARE ID-TYPE UNSPECIFIED
200G153640MEDICAIDARKANSAS
3A39512MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.