Kelley Ann Gillroy, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0677 Issued in AZ

Practice address

165 Lilly Rd NE Ste a
Olympia, WA 98506-5086

Phone

(360) 438-9092

Fax

(604) 383-9063

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Kelley a. Gillroy-Gill

  • Foot & Ankle Surgery Podiatrist
  • Olympia, WA
  • NPI 1750775037

  9436462231

  Same PAC ID

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgillroygill596813@direct.multicare.org

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.

• Kelley a. Gillroy-Gill

  • Foot & Ankle Surgery Podiatrist
  • Olympia, WA
  • NPI 1750775037
  Medicare reassignment NPD

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

• Providence Health & Services Washington

  • General Acute Care Hospital
  • Olympia, WA
  • NPI 1346250594
  Care Compare affiliation
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Olympia, WA
  • NPI 1619176997
  Care Compare affiliation

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1104044098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 LILLY RD NE STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065086",
            "telephone_number": "360-438-9092",
            "fax_number": "360-438-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 LILLY RD NE STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065086",
            "telephone_number": "360-438-9092",
            "fax_number": "604-383-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLROY",
        "first_name": "KELLEY",
        "middle_name": "ANN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428205",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Razia Kaur Gill, MD
• Terri Jo Giller Etheridge, LPC, LMHC
• Anne Katrin Gillespie, PHD, DIPL
• Megan Gillespie
• David Gillingham, D.O.
• Patricia A Gilmer, M.D.
• Joelene Gioulis, LMP
• John Gipson, VA60681359
• April Giraud, OTR/L
• Nicole Antje Giron, MA, LMHC

• Foot & Ankle Surgery Podiatrist in Olympia, WA
• Providers in Olympia, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.