Gnanaraj Johnson Koilpillai, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0057285 Issued in MD

Practice address

194 Thomas Johnson Dr
Suite a
Frederick, MD 21702-4679

Phone

(240) 215-6310

Fax

(240) 566-7751

NPI assigned

Jan 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Family Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walnut Street Community Health Center, Inc.Group PAC ID 6305757402, 18 clinicians

Frederick Health Medical Group LLCGroup PAC ID 9931341096, 200 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.07 of 100Reported as group

Quality

75.5

Promoting interoperability

100

Improvement activities

40

Cost

68.06

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gnanaraj.koilpillai.1@30195.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Medical Group LLC

  dba Frederick Health Medical Group

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1619258225
  Medicare reassignment Care Compare group NPD
• Walnut Street Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hagerstown, MD
  • NPI 1366425266
  Medicare reassignment Care Compare group NPD
• Frederick Health Medical Group LLC

  dba Frederick Health Medical Group

  • Medical Oncology Physician
  • Frederick, MD
  • NPI 1063780633
  NPD
• Frederick Health Medical Group LLC

  • Family Medicine Physician
  • Mount Airy, MD
  • NPI 1114771862
  NPD
• Walnut Street Community Health Center, Inc.

  dba Family Healthcare Pharmacy

  • Community/Retail Pharmacy
  • Hagerstown, MD
  • NPI 1871234294
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Ashburn Medical Center PC

  • Family Medicine Physician
  • Ashburn, VA
  • NPI 1821107764
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1245218064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37086",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973086",
            "telephone_number": "240-439-8913",
            "fax_number": "240-439-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 THOMAS JOHNSON DR",
            "address_2": "SUITE A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024679",
            "telephone_number": "240-215-6310",
            "fax_number": "240-566-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOILPILLAI",
        "first_name": "GNANARAJ",
        "middle_name": "JOHNSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0057285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "211841",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jemima Frimpong Kodua
• Tamara Lynn Koepp, LCSW-C
• Thomas Herbert Koerner, MD
• Rachel Koester
• Katelyn Diane Kohler, RBT
• Titus Koimur
• Radhika Rani Kondabathini, PHARMD
• Alyssa Konkoy
• Samantha D Koontz, PA-C
• Savannah Ruth Koontz, MS, BCBA, LBA

• Family Medicine Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.