Gerald Ira Polukoff, MD
NPI 1215020045ActiveIndividual· Internal Medicine, Cardiovascular Disease· Logan, UT
Internal Medicine, Cardiovascular Disease (MD) in Logan, Utah, licensed in UT and ID, with an NPI issued in October 2006.
Overview
| NPI | 1215020045 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Jun 20, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | 370398-1205 | UT |
| Internal Medicine, Interventional Cardiology | 207RI0011X | 370398-1205 | UT |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | M9904 | ID |
| Internal Medicine, Interventional Cardiology | 207RI0011X | M-9904 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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