Active NPI
Gagandeep Singh Dhillon, M.D
- Internal Medicine Physician
- Scranton, PA
National Provider Identifier
1114332103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MT207346
- Practice address
- 501 Madison Ave
Scranton, PA 18510-2401 - Phone
- (570) 343-2383
- NPI assigned
- Jun 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT207346 | PA | Primary |
Addresses
Primary practice location
501 Madison Ave
Scranton, PA 18510-2401
Mailing address
501 Madison Ave
Scranton, PA 18510-2401
Phone (570) 343-2383
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gdhillon252845@direct.vidanthealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (443) 949-0814
Hospital & facility affiliations
- University of MD Baltimore Washington Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT207346 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdics at BWMC LLC | Current | Accepting new patients | |
| Baltimore Washington Medical Center Inc. | Past | Accepting new patients |
Locations
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
Interoperability endpoints
- gdhillon252845@direct.vidanthealth.com
- gdhillon980191@direct.umm.edu
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Glen Burnie, MD
- NPI 1306131578
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1114332103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MADISON AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102401",
"telephone_number": "570-343-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MADISON AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102401",
"telephone_number": "570-343-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHILLON",
"first_name": "GAGANDEEP",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT207346",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gdhillon252845@direct.vidanthealth.com",
"affiliation": "N",
"address_1": "2100 Stantonsburg Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.