Active NPI
Lydia Gill, MD
- Obstetrics & Gynecology Physician
- Issaquah, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD.MD.61520776
- Practice address
- 751 NE Blakely Dr Ste 2030
Issaquah, WA 98029-6201 - Phone
- (425) 313-4000
- NPI assigned
- Mar 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | MD.MD.61520776 | WA | Primary |
Addresses
Primary practice location
751 NE Blakely Dr Ste 2030
Issaquah, WA 98029-6201
Mailing address
751 NE Blakely Dr Ste 2030
Issaquah, WA 98029-6201
Phone (425) 313-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Geisel School of Medicine at Dartmouth, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
751 NE Blakely Dr
Suite 2030
Issaquah, WA 98029-6201
Phone (425) 313-7080
Hospital & facility affiliations
- Swedish Issaquah
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.MD.61520776 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Obstetrics & Gynecology | Current | Accepting new patients |
| Swedish Health Services | Past | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients |
Locations
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
751 NE Blakely Dr
Ste 2030
Issaquah, WA 98029
Phone (425) 313-4141
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
Interoperability endpoints
- lgill1011183@wm.providencedirect.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
Obstetrics & Gynecology
-
- Surgery Physician
- Seattle, WA
- NPI 1053368571
-
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1104454180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 NE BLAKELY DR STE 2030",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980296201",
"telephone_number": "425-313-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 NE BLAKELY DR STE 2030",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980296201",
"telephone_number": "425-313-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "LYDIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD.MD.61520776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.