NPIMap

Individual provider Active NPI

Jill Harrell, MD

  • Specialist
  • Oakland, CA
National Provider Identifier
1073656062
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A65174 Issued in CA
Practice address
350 30TH Street, Suite 530
Oakland, CA 94609-3426
Phone
(510) 839-5564
Fax
(510) 839-1692
NPI assigned
Feb 15, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A65174 CA Primary

Addresses

Primary practice location

350 30TH Street, Suite 530
Oakland, CA 94609-3426

Mailing address

6857 Colton Blvd
Oakland, CA 94611-1347
Phone (510) 339-3343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001717 CA Practitioner - Orthopedic Surgery 0648255935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
St. Louis College of Physicians and Surgeons, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians
DHP of Twin Cities Medical Group IncGroup PAC ID 0840449385, 6 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

1100 Las Tablas Rd
Templeton, CA 93465-9704
Phone (805) 434-4352

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
Quality
66.48
Promoting interoperability
100
Improvement activities
40
Cost
75.97

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
82.58
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65174CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Twin Cities Medical Group Inc CurrentSince Jul 15, 2017 Accepting new patients
Washington Township Medical Foundation CurrentSince Nov 1, 2010 Accepting new patients
Washington Township Medical Foundation CurrentSince Nov 1, 2010 Accepting new patients
DHP of California Medical Group Inc CurrentSince Feb 23, 2025 Accepting new patients
Elwood Paul Reid MD Inc Past Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

2557 Mowry Ave
Ste 10
Fremont, CA 94538
Phone (510) 248-1843

38690 Stivers St
Ste A
Fremont, CA 94536
Phone (510) 248-1040

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

Interoperability endpoints

  • Direct secure messaging: jharrell11632@direct.whhs.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073656062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6857 COLTON BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946111347",
            "telephone_number": "510-339-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 30TH STREET, SUITE 530",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093426",
            "telephone_number": "510-839-5564",
            "fax_number": "510-839-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "JILL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A65174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.