Pavinderpal S. Gill, M.D.
Individual provider Active NPI Internal Medicine Physician · Taylorville, IL
NPI 1245336148 · NPPES record last updated May 22, 2020
Key facts
- NPI
- 1245336148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036-085064 (IL)
- Practice address
- 600 N Main St
Taylorville, IL 62568-1511 - Phone
- (217) 287-8855
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 19
Owned or controlled facilities with NPI records 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Springfield Clinic, LLP
Practice addresses (Care Compare)
100 Stahlhut Dr
Lincoln, IL 62656-5059
Phone (217) 735-9555
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
200 Stahlhut Dr 1St Floor Room
Suite 428
Lincoln, IL 62656-5066
Phone (217) 605-5309
201 E Pleasant St
Taylorville, IL 62568-1562
Phone (217) 824-3566
206 N Pearl St
Teutopolis, IL 62467-1134
Phone (217) 528-7541
250 W Kenwood Ave
Decatur, IL 62526-4371
Phone (217) 528-7541
400 Saint Johns Dr
Sherman, IL 62684-9779
Phone (217) 525-4150
600 N Main St
Taylorville, IL 62568-1668
Phone (217) 824-8191
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
800 N 1St St
Springfield, IL 62702-3719
Phone (217) 528-7541
900 N 1St St
Springfield, IL 62702-3749
Phone (217) 528-7541
Hospital & facility affiliations
- Quad County Home Health Agency
- Mederi Caretenders of Fairview Heights
- Enhabit Home Health
- Advanced Healthcare Services, LLC
- Elara Caring V
- Gentiva
- Heartland Hospice (Fairview Heights)
- BJC Hospice
- Hospice Care of Illinois
- Taylorville Memorial Hospital
- St Marys Hospital
- Pana Community Hospital
- Thomas H Boyd Memorial Hospital
- Memorial Medical Center
- EverVella of White Hall
- Mt Zion Health & Rehab Center
- Taylorville SKLD Nur & Rehab
- Taylorville Care Center
- Villa Health Care East
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 10
| Facility | Type | Role | Since |
|---|---|---|---|
| Taylorville Memorial Hospital |
Hospital | Corporate Director | Jan 1, 2012 |
| Taylorville Memorial Hospital |
Hospital | Corporate Director | Jan 1, 2012 |
| Villa Health Care East |
Skilled nursing facility | Corporate Director Operational/Managerial Control Adp of the SNF |
Mar 1, 2014 Mar 1, 2014 Feb 4, 2026 |
| Taylorville Skilled Nursing & Rehab |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Apr 15, 2022 Apr 15, 2022 |
| Rose Garden of Pana |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Dec 1, 2024 Dec 1, 2024 |
| Springfield Clinic Lincoln Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2002 |
| Springfield Clinic Nokomis Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2002 |
| Springfield Clinic Raymond Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2002 |
| Springfield Clinic Neoga Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2022 |
| Springfield Clinic, LLP |
Rural health clinic | Limited Partnership Interest | Jan 1, 2002 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050302000199 | IL | Practitioner - Internal Medicine |
9234182288 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-085064 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Current |
Accepting new patients | |
| Springfield Clinic, LLP | Past | Accepting new patients |
Locations
300 N Broad St
Carlinville, IL 62626
Phone (217) 544-2020
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
1025 S 7th St
Springfield, IL 62703
Phone (217) 525-7541
1025 S 6th St
Springfield, IL 62703
201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555
600 N Main St
Taylorville, IL 62568
Phone (217) 287-8855
Interoperability endpoints
- pavinderpal.gill.1@28977.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-085064 | IL | Yes |
Addresses
Primary practice location
600 N Main St
Taylorville, IL 62568-1511
Mailing address
1025 S 6TH St
Springfield, IL 62703-2416
Phone (217) 528-7541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036085064 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pavinderpalgill@sfc.allscriptsdirect.net |
NPI Registry JSON
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1245336148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032416",
"telephone_number": "217-528-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N MAIN ST",
"city": "TAYLORVILLE",
"state": "IL",
"postal_code": "625681511",
"telephone_number": "217-287-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "PAVINDERPAL",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-085064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036085064",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pavinderpalgill@sfc.allscriptsdirect.net",
"affiliation": "N",
"address_1": "600 N Main St",
"city": "Taylorville",
"state": "IL",
"country_code": "US",
"postal_code": "625681511",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Taylorville, IL
- Heather Nicole Fulhorst
- Jamie Renee Garrett
- Tracy N Garwood
- Gateway Rehabilitation Taylorville LLC
- Emily Gibson
- Rosalina R. Gonzales
- Timothy J Graham
- Annette Gremmels
- Beth Ann Guhlstorf
- Hear Well Hearing Care Centre
All providers in Taylorville, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.