Individual provider Active NPI

Nikita K Gill, M.D.

  • Cardiovascular Disease Physician
  • Redding, CA
National Provider Identifier
1255366514
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD420088 Issued in PA
Practice address
2626 Edith Avenue
Suite C
Redding, CA 96001-3056
Phone
(530) 247-0404
Fax
(530) 247-0472
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A77028 CA
Cardiovascular Disease Physician 207RC0000X MD420088 PA Primary

Addresses

Primary practice location

2626 Edith Avenue
Suite C
Redding, CA 96001-3056

Mailing address

PO Box 990208
Redding, CA 96099-0208
Phone (530) 212-0073

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
I20110203000288 CA Practitioner - Internal Medicine 3870594856 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 225-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
84.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting88
Pacemaker insertion or repair15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420088PAMDCardiovascular Disease Physician
77028CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health CurrentSince Apr 1, 2025 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Feb 5, 2014 Accepting new patients
Nikita Gill, M.D., Inc. CurrentSince Jan 15, 2007 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Feb 5, 2014 Accepting new patients

Locations

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2626 Edith Ave
Ste C
Redding, CA 96001
Phone (530) 241-3316

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

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 6

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1255366514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990208",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960990208",
            "telephone_number": "530-212-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 EDITH AVENUE",
            "address_2": "SUITE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013056",
            "telephone_number": "530-247-0404",
            "fax_number": "530-247-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "NIKITA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A77028",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD420088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.