Individual provider Active NPI

Gurjiwan Kaur Gill, D.O

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1205089778
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A10243 Issued in CA
Practice address
7191 N Millbrook Ave Ste 115
Fresno, CA 93720-3365
Phone
(559) 261-0266
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A10243 CA Primary

Addresses

Primary practice location

7191 N Millbrook Ave Ste 115
Fresno, CA 93720-3365

Mailing address

7191 N Millbrook Ave Ste 115
Fresno, CA 93720-3365
Phone (559) 261-0266

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
I20100301000634 CA Practitioner - Internal Medicine 4587709613 Reassigns benefits to 1 organization
Practice locations: Clovis, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2166 Shaw Ave
Clovis, CA 93611-8919
Phone (559) 392-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
35.89 of 100Reported as individual
Quality
35
Improvement activities
0
Cost
72.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center CurrentSince Jun 15, 2013 Accepting new patients
Trinity Home Health Services CurrentSince Jun 15, 2013 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Community Hospitalist Medical Group Inc. Internal Medicine Past Accepting new patients
Sante Health Foundation Internal Medicine Past Accepting new patients

Locations

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

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

Organizations & group practices 5

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1205089778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7191 N MILLBROOK AVE STE 115",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203365",
            "telephone_number": "559-261-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 N MILLBROOK AVE STE 115",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203365",
            "telephone_number": "559-261-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "GURJIWAN",
        "middle_name": "KAUR",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.