Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Johnny Lee Gerardot Jr., MD

Individual provider Family Medicine Physician · NPI 1336673037

Dr. Johnny Lee Gerardot Jr., MD is a Family Practice in Mishawaka, Indiana. Graduated from Indiana University School of Medicine in 2017, 9 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5314 Lincolnway E
Mishawaka, IN 46544-4249
Phone: (574) 584-2812
Fax: (574) 584-2813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 202 Lincolnway E Ste 201, Mishawaka, IN 46544-2079 — (574) 584-2812
  • 714 N Michigan St, South Bend, IN 46601-1035 — (574) 647-7477

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01084004A (IN)

Record details

NPI number1336673037
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2017
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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