DR. GERALD J GLEICH (M.D.) – Internal Medicine Physician, NPI 1174545800

DR. GERALD J GLEICH (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. 4931720-1205 (UT). The NPI Number for DR. GERALD J GLEICH (M.D.) is 1174545800

Main info

Male
70 Years Of Experience
Accepts Medicare Assignment
Name
DR. GERALD J GLEICH (M.D.)
NPI
1174545800
Phone
(801) 587-6340
Address
PO BOX 3208
Enumeration Date
24 July 2006
Last Update Date
1 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
8015876340
Graduation Year
1956 (70 years ago)
PAC ID
4789781626
Group Practice PAC ID
9638073497
Professional Enrollment ID
I20070529000538
Address ID
UT841320001SA50XXXDRXX400

Contacts

Secure Messaging
ggleich3976@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

40 ALLERGY/IMMUNOLOGY in UT

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Provider Addresses for DR. GERALD J GLEICH (M.D.)

  • Salt Lake City Post Office, 1760, 2100 South, Salt Lake City, Salt Lake County, Utah, 84199, United States

    SALT LAKE CITY, UT 841103208

    Phone: (801) 587-6340

    Fax: (801) 587-6346

    Type: Mailing

  • 50, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States

    SALT LAKE CITY, UT 841321100

    Phone: (801) 581-2955

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $398.

Total Amount is formed as General ($398) + Research ($0) + Ownership ($0) = $398.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($198).

Total Amount

$398

General + Research + Ownership

Payments

7

Total payment records

General Amount

$398

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

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: 2007-05-29

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
I20070529000538IAllergy/ImmunologyUTTBD

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 84110)

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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: 9638073497View full group profile
NameSpecialtyState
Physician AssistantUT
D E R M A T O L O G YUT
D E R M A T O L O G YTN
D E R M A T O L O G YCA
P A T H O L O G YUT
D E R M A T O L O G YUT
D E R M A T O L O G YUT
D E R M A T O L O G YUT
D E R M A T O L O G YPA
-UT

Reviews

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Frequently asked questions

Does DR. GERALD J GLEICH (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. GERALD J GLEICH (M.D.) uses 1174545800.
Does the file indicate DR. GERALD J GLEICH (M.D.) is practicing under active NPI?
Directory data currently reports DR. GERALD J GLEICH (M.D.) as active.
What is DR. GERALD J GLEICH (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. GERALD J GLEICH (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. GERALD J GLEICH (M.D.)?
DR. GERALD J GLEICH (M.D.)'s geographic hint is Salt Lake City, Utah in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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