Individual provider Active NPI

Kuldeep S Gill, M.D.

  • Pulmonary Disease Physician
  • Fresno, CA
National Provider Identifier
1184623969
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A820570 Issued in CA
Practice address
1660 E Herndon Ave
Suite 101
Fresno, CA 93720-3359
Phone
(559) 431-9753
Fax
(559) 431-3478
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 8

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 3

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

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1660 E Herndon Ave
Suite 101
Fresno, CA 93720-3346
Phone (559) 431-9753

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093

Merit-based Incentive Payment System (MIPS)

Final score
23.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.18

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

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
I20040217000272 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2860387107 Reassigns benefits to 3 organizations
Practice locations: Fresno, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A820570CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Specialty Physicians Group Inc Critical Care Medicine CurrentSince Jan 1, 2025 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince May 9, 2016 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince May 9, 2016 Accepting new patients
Merced Intensivist Group Inc Critical Care Medicine CurrentSince Aug 1, 2020 Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
RS Neuro Medical, P.C. PastSince May 1, 2007 Accepting new patients
South Shore Magnetic Resonance Imaging Associates PC PastSince Aug 13, 2016 Accepting new patients
Tustin Teleradiology Medical Group Inc. Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A820570 CA
Pulmonary Disease Physician 207RP1001X A820570 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1660 E Herndon Ave
Suite 101
Fresno, CA 93720-3359

Mailing address

1660 E Herndon Ave
Suite 101
Fresno, CA 93720-3359
Phone (559) 431-9753

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00A820570MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 20, 2016.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1184623969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 E HERNDON AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203359",
            "telephone_number": "559-431-9753",
            "fax_number": "559-431-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 E HERNDON AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203359",
            "telephone_number": "559-431-9753",
            "fax_number": "559-431-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "KULDEEP",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A820570",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A820570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A820570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.