DYLAN NATHANAEL GERLACH – Gastroenterology Physician, NPI 1073073391

DYLAN NATHANAEL GERLACH is a healthcare provider. based in Louisville, Kentucky. specializing in INTERNAL MEDICINE. They hold a License No. 05103 (KY). The NPI Number for DYLAN NATHANAEL GERLACH is 1073073391

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DYLAN NATHANAEL GERLACH
NPI
1073073391
Phone
(502) 888-1988
Address
170 Dr Arla Way Ste 101
Enumeration Date
22 March 2019
Last Update Date
16 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
5024529567
Graduation Year
2019 (7 years ago)
PAC ID
6608294079
Group Practice PAC ID
0840443636
Professional Enrollment ID
I20210930002303
Address ID
KY402181973LO1941XLNXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

Provider Addresses for DYLAN NATHANAEL GERLACH

  • 170 Dr Arla Way Ste 101

    Louisville, KY 402295427

    Phone: (502) 888-1988

    Type: Location

  • 550 S JACKSON ST STE A3K00

    LOUISVILLE, KY 402021622

    Phone:

    Type: Mailing

  • 550, South Jackson Street, Louisville, Jefferson County, Kentucky, 40202, United States

    LOUISVILLE, KY 402021622

    Phone: (502) 852-5666

    Type: Location

  • 438 Adam Shepherd Pkwy

    Shepherdsville, KY 401656742

    Phone: (502) 888-1988

    Type: Location

  • PO BOX 381468

    GERMANTOWN, TN 381831468

    Phone:

    Type: Mailing

  • 1941 BISHOP LN STE 200

    LOUISVILLE, KY 402181973

    Phone: (502) 888-1988

    Fax: (502) 452-6577

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $277.

Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: ERBE USA Inc ($100).

Total Amount

$277

General + Research + Ownership

Payments

9

Total payment records

General Amount

$277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210930002303IInternal MedicineKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40229)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840443636View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineKY
P A T H O L O G YIN
G A S T R O E N T E R O L O G YTN
Gastroenterology, Internal MedicineTN
Gastroenterology, Internal MedicineTN
Nurse PractitionerKY
Nurse PractitionerTN
Physician AssistantTN
G A S T R O E N T E R O L O G YKY
Physician AssistantIN

Reviews

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Frequently asked questions

What number should I use to identify DYLAN NATHANAEL GERLACH for billing?
Administrative and clinical systems typically use NPI 1073073391 for DYLAN NATHANAEL GERLACH.
Does the public listing show DYLAN NATHANAEL GERLACH as active?
DYLAN NATHANAEL GERLACH's NPI record reflects an active status in NPPES.
What type of care does DYLAN NATHANAEL GERLACH provide?
DYLAN NATHANAEL GERLACH's profile centers on Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is DYLAN NATHANAEL GERLACH tied to Louisville, Kentucky?
If you are local to Louisville, Kentucky, DYLAN NATHANAEL GERLACH may be relevant to your search.
Can I export DYLAN NATHANAEL GERLACH's record?
You can download the official NPPES record; we summarize key fields for readability.

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