Active NPI
Parmjit Kaur Gill, M.D.
- Pediatrics Physician
- Lakeland, FL
National Provider Identifier
1073529889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME96413
- Practice address
- 4304 Highland Park Blvd
Lakeland, FL 33813-1647 - Phone
- (863) 644-9398
- Fax
- (863) 644-9354
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME96413 | FL | Primary |
Addresses
Primary practice location
4304 Highland Park Blvd
Lakeland, FL 33813-1647
Mailing address
125 Lake Region Cir
Winter Haven, FL 33881-9549
Phone (863) 446-1698
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276229300 | Medicaid | FL | |
| 56300 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
| ME96413 | Other | FL | MEDICAL DOCTOR LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Kidz Pediatrics, PL | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FJFGBA/Endpoint/FJFGBA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Lakeland, FL
- NPI 1144664442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1073529889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 LAKE REGION CIR",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338819549",
"telephone_number": "863-446-1698",
"fax_number": "863-644-9354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4304 HIGHLAND PARK BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338131647",
"telephone_number": "863-644-9398",
"fax_number": "863-644-9354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "PARMJIT",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME96413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276229300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "56300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL DOCTOR LICENCE",
"identifier": "ME96413",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.