DR. NOAH MISCHKA AVALON GERKEN M.D.
NPI 1851650758
Internal Medicine in San Rafael, CA

Active since May 11, 2012PECOS EnrolledAccepts Medicare Assignment
99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 444-2000 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Noah Mischka Avalon Gerken M.d. NPPES

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

DR. NOAH MISCHKA AVALON GERKEN M.D. (NPI 1851650758) is an individual internal medicine provider in San Rafael, California, licensed in California (A127970) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1851650758
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NOAH MISCHKA AVALON GERKENCredential: M.D.
Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308
Mailing Address99 Montecillo RdSan Rafael, CA 94903-3308
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 11, 2012
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1851650758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A127970
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
99 MONTECILLO RD, San Rafael, CA 94903

Other Names 1

Other Name (5)Mischka Gerken

Secondary Practice Location 1

Location 12425 Geary BlvdSan Francisco, CA 94115-3358 · Phone (415) 847-6568

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Noah Mischka Avalon Gerken M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527394923
PECOS Enrollment IDI20190723002226
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.

Medicare Billing Reassignment

Medicare enrollment records show Noah Mischka Gerken reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.04 typical visit price
range $69.07 – $202.63
Typical copayment $38.51 (range $17.26 – $50.65)
Most-billed visit code 99204
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Dermatology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Anesthesiology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Radiology (Diagnostic Radiology)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Hospitalist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Speech-Language Pathologist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Internal Medicine
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Nurse Anesthetist, Certified Registered
99 MONTECILLO RD
SAN RAFAEL, CA 94903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Noah Mischka Gerken's NPI number?

The NPI number for Noah Mischka Gerken is 1851650758. It was assigned to this individual provider in the NPPES registry on May 11, 2012. The provider is also known as Mischka Gerken.

Where is Noah Mischka Gerken located?

Noah Mischka Gerken practices at 99 Montecillo Rd, San Rafael, CA 94903. The listed phone number is (415) 444-2000.

What is Noah Mischka Gerken's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Noah Mischka Gerken enrolled in Medicare?

Yes. Noah Mischka Gerken is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Noah Mischka Gerken's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noah Mischka Gerken reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Noah Mischka Gerken's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Noah Mischka Gerken was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.