Individual provider Active NPI

Manpreet Kaur Gill, MD

  • Family Medicine Physician
  • Carmichael, CA
National Provider Identifier
1215382197
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A160364 Issued in CA
Practice address
6620 Coyle Ave Ste 210
Carmichael, CA 95608-6337
Phone
(530) 888-9978
Fax
(530) 888-9979
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA10440600 NJ
Family Medicine Physician 207Q00000X A160364 CA Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X A160364 CA
Adult Medicine Physician 207QA0505X A160364 CA

Addresses

Primary practice location

6620 Coyle Ave Ste 210
Carmichael, CA 95608-6337

Mailing address

3308 El Camino Ave # 300-434
Sacramento, CA 95821-6327
Phone (530) 888-9978

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
I20210114000461 CA Practitioner - Family Practice 5597178467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6620 Coyle Ave
Suite 210
Carmichael, CA 95608-6337
Phone (530) 888-9978

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160364CAMDFamily Medicine Physician
25MA10440600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manpreet K Gill MD PC CurrentSince Dec 4, 2020 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

660 Auburn Folsom Rd
Ste 205
Auburn, CA 95603
Phone (530) 888-8997

6620 Coyle Ave
Ste 210
Carmichael, CA 95608
Phone (530) 888-9978

Interoperability endpoints

  • Direct secure messaging: manpreet.gill@1006134872178692.direct.elationemr.com
  • Direct secure messaging: manpreet.gill.p1@direct.peachtreehealth.nextgenshare.com

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.

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1215382197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 EL CAMINO AVE # 300-434",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216327",
            "telephone_number": "530-888-9978",
            "fax_number": "530-888-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE STE 210",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086337",
            "telephone_number": "530-888-9978",
            "fax_number": "530-888-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "MANPREET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10440600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A160364",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "A160364",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A160364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.