1. Home
  2. Directory
  3. Iowa
  4. Cedar Rapids
  5. Family Medicine
  6. NPI Profile

MALHAR S GORE MD
NPI 1982766705
Family Medicine in Cedar Rapids, IA

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment
3419 16TH AVE SW STE 100, CEDAR RAPIDS, IA 52404(319) 206-9561(319) 423-7978 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Malhar S Gore Md NPPES

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

MALHAR S GORE MD (NPI 1982766705) is an individual family medicine provider in Cedar Rapids, Iowa, licensed in Iowa (MD.29054) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1982766705
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMALHAR S GORECredential: MD
Location Address3419 16TH AVE SW STE 100Cedar Rapids, IA 52404-2335
Mailing AddressPo Box 746870Atlanta, GA 30374-6870 · (312) 733-9730 · Fax (773) 866-8014
Phone(319) 206-9561
Fax(319) 423-7978
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1991
Enumeration DateDecember 15, 2006
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1982766705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · MD.29054
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3419 16TH AVE SW STE 100, Cedar Rapids, IA 52404
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 E Polk StWashington, IA 52353-1254 · Phone (319) 863-3900

Other Identifiers 2

Other18932IA · Bcbs
Medicaid4072074IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Malhar S Gore Md 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 ID8820245244
PECOS Enrollment IDI20120820000924
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 Reassignments

2

Medicare enrollment records show Malhar Gore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Centers Of Southeastern Iowa Inc
52 mi
Federally Qualified Health Center (FQHC)
2409 SPRING ST
Columbus City, IA 52737
  • Reassigned Medicare billing, Iowa enrollment
  • 43 clinicians in this Medicare group
NPI 1265618805 (319) 728-7400
Oak Street Health Physicians Group Of Iowa LLC
101 mi
Primary Care
4841 SE 14TH ST
Des Moines, IA 50320
  • Reassigned Medicare billing, Iowa enrollment
  • 17 clinicians in this Medicare group
NPI 1407551120 (515) 415-4081

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160045
Location1026 A Ave NECedar Rapids, IA 52402 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52404 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 2

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

MELANIE BROOKE DAHLHAUSER ARNP
Nurse Practitioner (Family)
3419 16TH AVE SW STE 100
CEDAR RAPIDS, IA 52404
Linn County (319) 206-9561
MRS. MEGAN MAXINE RUOPP ARNP
Nurse Practitioner (Family)
3419 16TH AVE SW STE 100
CEDAR RAPIDS, IA 52404
Linn County (319) 206-9561

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 Malhar Gore's NPI number?

The NPI number for Malhar Gore is 1982766705. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Malhar Gore located?

Malhar Gore practices at 3419 16th Ave SW Ste 100, Cedar Rapids, IA 52404. The listed phone number is (319) 206-9561.

What is Malhar Gore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Malhar Gore enrolled in Medicare?

Yes. Malhar Gore 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 organizations bill Medicare for Malhar Gore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malhar Gore reassigns Medicare benefits to 2 organizations: Community Health Centers Of Southeastern Iowa Inc (Columbus City, IA) and Oak Street Health Physicians Group Of Iowa LLC (Des Moines, IA). Each 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 Malhar Gore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Malhar Gore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Malhar Gore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Malhar Gore affiliated with any hospitals?

According to CMS data, Malhar Gore is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Malhar Gore was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.