NPIMap

Individual provider Active NPI

Sukhpal K Gill, M.D

  • Nephrology Physician
  • Arcadia, CA
National Provider Identifier
1124129580
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A47807 Issued in CA
Practice address
550 W Duarte Rd Ste 4
Arcadia, CA 91007-7360
Phone
(626) 445-7500
Fax
(626) 445-7555
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A47807 CA Primary

Addresses

Primary practice location

550 W Duarte Rd Ste 4
Arcadia, CA 91007-7360

Mailing address

550 W Duarte Rd Ste 4
Arcadia, CA 91007-7360
Phone (626) 445-7500

Other identifiers 3

IdentifierTypeStateIssuer
00A478070OtherCABC/BS
00A478071MedicaidCA
110163742OtherCARAILROAD

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
I20100513000804 CA Practitioner - NephrologyPractitioner - Internal Medicine 5395653513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

550 W Duarte Rd
Suite 4
Arcadia, CA 91007-7360
Phone (626) 455-7500

Hospital & facility affiliations

  • DaVita Arcadia Oaks Dialysis Dialysis facility, Arcadia, CA, CCN 552787
  • DaVita Pasadena Foothills Dialysis Center Dialysis facility, Pasadena, CA, CCN 552660
  • Usc Arcadia Hospital Hospital, Arcadia, CA, CCN 050238
  • Greater El Monte Community Hospital Hospital, South El Monte, CA, CCN 050738
  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438
  • Methodist Hosp S California Inpatient rehabilitation facility, Arcadia, CA, CCN 05T238

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47807CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Arcadia Hospital Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1124129580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W DUARTE RD STE 4",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077360",
            "telephone_number": "626-445-7500",
            "fax_number": "626-445-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W DUARTE RD STE 4",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077360",
            "telephone_number": "626-445-7500",
            "fax_number": "626-445-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "SUKHPAL",
        "middle_name": "K",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A47807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00A478070",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A478071",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110163742",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.