KERSTIN GERHOLD MD
NPI 1487231874
Pediatrics - Pediatric Rheumatology in Madison, MS
NPI Status: Active since March 24, 2021
Contact Information
7730 OLD CANTON RD BLDG A
MADISON, MS
ZIP 39110
Phone: (601) 499-0935
Fax: (601) 499-0936
- Individual
- Female
- Pediatrics
- Pediatric Rheumatology
- Accepts Insurance
- PECOS Enrolled
About KERSTIN GERHOLD
This page provides the complete NPI Profile along with additional information for Kerstin Gerhold, a pediatrician established in Madison, Mississippi with a medical specialization in Pediatrics, focusing in pediatric rheumatology . The healthcare provider is registered in the NPI registry with number 1487231874 assigned on March 2021. The practitioner's primary taxonomy code is 2080P0216X with license number 28390 (MS). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1487231874
- Provider Name
- KERSTIN GERHOLD MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7730 OLD CANTON RD BLDG A MADISON, MS 39110
- Location Phone
- (601) 499-0935
- Location Fax
- (601) 499-0936
- Mailing Address
- 7731 OLD CANTON RD STE B MADISON, MS 39110
- Mailing Phone
- (601) 499-0935
- Mailing Fax
- (601) 499-0936
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-24-2021
- Last Update Date
- 03-24-2021
- Code Navigator
A pediatrician like Kerstin Gerhold is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Rheumatology
- Taxonomy Code
- 2080P0216X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 28390
- License State
- MS
- Taxonomy Description
- A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Connect Bronze 5500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 6500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3800 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 4000 Indiv Med Deductible - EPO
- Connect Silver 6500 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kerstin Gerhold is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 8 | 7 | 2 | 3 | 1 | 8 | 7 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 16 | 7 | 4 | 3 | 2 | 8 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 1 + 6 + 7 + 4 + 3 + 2 + 8 + 1 + 4 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1487231874 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1821351107 | SANA L BHATTI M.D. Individual | Plastic Surgery | 7730 OLD CANTON RD BLDG A MADISON, MS 39110 (601) 499-0935 |
1033521513 | DR. VARUN SREENIVASAN MD Individual | Psychiatry & Neurology (Neuromuscular Medicine) | 7730 OLD CANTON RD BLDG A MADISON, MS 39110 (601) 499-0935 |
1033201454 | AMY POTTER MD Individual | Pediatrics (Pediatric Endocrinology) | 7730 OLD CANTON RD BLDG A MADISON, MS 39110 (601) 499-0935 |
1245943166 | REBECCA BAGWELL RDN, LDN Individual | Dietitian, Registered | 7730 OLD CANTON RD BLDG A MADISON, MS 39110 (601) 499-0935 |
1093166365 | DR. SAIMA HANIF MBBS Individual | Pediatrics (Pediatric Endocrinology) | 7730 OLD CANTON RD BLDG A MADISON, MS 39110 (601) 499-0935 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487231874, enumerated in the NPI registry as an "individual" on March 24, 2021
The provider is located at 7730 Old Canton Rd Bldg A Madison, Ms 39110 and the phone number is (601) 499-0935
The provider's speciality is Pediatrics with taxonomy code 2080P0216X with a focus in Pediatric Rheumatology
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 24, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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