DR. GERALD IRA POLUKOFF (MD) – Cardiovascular Disease Physician, NPI 1215020045

DR. GERALD IRA POLUKOFF (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. 370398-1205 (UT). The NPI Number for DR. GERALD IRA POLUKOFF (MD) is 1215020045

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. GERALD IRA POLUKOFF (MD)
NPI
1215020045
Phone
(435) 716-2200
Address
PO BOX 27128
Enumeration Date
2 October 2006
Last Update Date
20 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5732485460
Graduation Year
1985 (41 years ago)
PAC ID
5395745111
Group Practice PAC ID
1254236300
Professional Enrollment ID
I20200519003048
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

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Provider Addresses for DR. GERALD IRA POLUKOFF (MD)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (435) 716-2200

    Type: Mailing

  • 1300, North 500 East, Logan, Cache County, Utah, 84341, United States

    LOGAN, UT 843412408

    Phone: (435) 716-2200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 84127)

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Provider's Procedures

DR. GERALD IRA POLUKOFF (MD) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)UT78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1313
CARDIOVASCULAR DISEASE (CARDIOLOGY)UT93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report242191

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: 1254236300View full group profile
NameSpecialtyState
LACOSTA KAY GAINES (DNP, APRN, FNP-C)
Nurse PractitionerMO
MELISSA L REYNOLDS
Nurse PractitionerMO
MARY J. CRAWFORD (D.O.)
Family PracticeMO
DR. JOHN PAUL GREVING (DO)
Internal MedicineMO
DR. KAROL EDWARD ROSNER (M.D.)
Nephrology, Internal Medicine, Nephrology, Internal MedicineIL
BROOKE APRIL SPRAGUE (FNP-C)
Nurse PractitionerMO
DR. VICTOR ANTHONY MAALOUF (D.O.)
Emergency MedicineMO
WHITNEY JEAN ROLLER (MSN, FNP-C)
Nurse PractitionerMO
NI JIN (M.D.)
P A T H O L O G YMO
SANTHISRI KODALI (MD)
Internal Medicine, Cardiovascular Disease (Cardiology)MO

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Frequently asked questions

Does DR. GERALD IRA POLUKOFF (MD) have a public NPI I can cite?
Public records show DR. GERALD IRA POLUKOFF (MD) under NPI 1215020045.
Should I treat DR. GERALD IRA POLUKOFF (MD) as an active provider?
Patients and plans typically see DR. GERALD IRA POLUKOFF (MD) as active in the national extract.
What does the directory say DR. GERALD IRA POLUKOFF (MD) does?
Insurance directories may phrase it differently, but here DR. GERALD IRA POLUKOFF (MD) maps to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is DR. GERALD IRA POLUKOFF (MD) tied to Salt Lake City, Utah?
If you are local to Salt Lake City, Utah, DR. GERALD IRA POLUKOFF (MD) may be relevant to your search.
Who maintains DR. GERALD IRA POLUKOFF (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.