Individual provider Active NPI

Erin Marie Gillis, M.D.

  • Emergency Medicine Physician
  • Stanford, CA
National Provider Identifier
1154453702
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
96811 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-9215
Fax
(650) 723-0121
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 96811 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

701 Welch Rd
BLDG C
Palo Alto, CA 94304-1709
Phone (650) 723-9215

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080510000055 CA Practitioner - Emergency Medicine 8325127723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mills-Peninsula Emergency Medical Associates, IncGroup PAC ID 4183668908, 28 clinicians

Practice addresses (Care Compare)

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5500

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96811CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California Emergency Medicine CurrentSince Oct 1, 2010 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Oct 1, 2010 Accepting new patients
Mills Peninsula Emergency Medical Associates Inc Emergency Medicine CurrentSince Nov 1, 2010 Accepting new patients
Mills Peninsula Emergency Medical Associates Inc Emergency Medicine CurrentSince Nov 1, 2010 Accepting new patients
Sutter East Bay Medical Foundation Emergency Medicine Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

1500 Trousdale Ave
Burlingame, CA 94010

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140

Interoperability endpoints

  • Direct secure messaging: egillismd63365@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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 2

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1154453702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WELCH RD",
            "address_2": "BLDG C",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041709",
            "telephone_number": "650-723-9215",
            "fax_number": "650-723-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-9215",
            "fax_number": "650-723-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "96811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.