MARINA SIDRA GERGES
NPI 1053973636
Student in an Organized Health Care Education/Training Program in Jasper, IN

Q: What is Marina Sidra Gerges's NPI number?

The NPI number for Marina Sidra Gerges is 1053973636. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Q: What is Marina Sidra Gerges's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 03, 2019PECOS Enrolled

966 BARTLEY ST, JASPER, IN 47546(812) 996-5425 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2019, Jul 3, 2019 (2 updates tracked since 2019).

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About Marina Sidra Gerges NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINA SIDRA GERGES (NPI 1053973636) is an individual student in an organized health care education/training program in Jasper, Indiana, licensed in Indiana (11020796A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053973636

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARINA SIDRA GERGES

Location Address966 BARTLEY STJasper, IN 47546-2641

Mailing Address515 W 9th Street, Unit AJasper, IN 47546 · (513) 546-3224

Phone(812) 996-5425

Sole ProprietorNo

Enumeration DateJuly 3, 2019

Last NPPES UpdateJuly 8, 20192 updates tracked since enumeration

✔ NPI 1053973636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in IN · 11020796A

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 11020796A (IN)

966 BARTLEY ST, Jasper, IN 47546

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marina Sidra Gerges is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NIKOLA CENGELOVA CONRAD M.D.

Family Medicine