Michael J. Gillman, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G84341 Issued in CA

Practice address

1120 W. la Veta Avenue
Suite 300
Orange, CA 92868-4246

Phone

(657) 210-4096

Fax

(657) 210-4233

NPI assigned

May 31, 2005

Reactivated

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Orthopedic Surgery

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spine and Sports Specialities Medical GroupGroup PAC ID 6507177367, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• N & D Healthcare Services Inc Home health agency, Pasadena, CA, CCN 058255
• Grandcare Home Health Services Home health agency, Pasadena, CA, CCN 058277
• Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069
• Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: michael.gillman@sass.eclinicaldirectplus.com
• Direct secure messaging: michael.gillman.p46@direct.newportmed.nextgenshare.com
• Direct secure messaging: michael.gillman.p9@direct.newportmed.nextgenshare.com

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.

• Michael Gillman M D Inc

  • Orthopedic Physical Therapist
  • Laguna Beach, CA
  • NPI 1376737353
  Medicare reassignment NPD Authorized official
• Spine and Sports Specialities Medical Group

  • Orthopaedic Surgery Physician
  • Orange, CA
  • NPI 1013306174
  Medicare reassignment Care Compare group NPD
• Mission Hospital Regional Medical Center

  • Rehabilitation Hospital
  • Mission Viejo, CA
  • NPI 1003956913
  NPD (past)
• St. Joseph Hospital

  • Specialist
  • Bethpage, NY
  • NPI 1881799153
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mission Hospital Regional Medical Center

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1912108002
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1992752315
  Care Compare affiliation
• MSJ Healthcare LLC

  • Home Health Agency
  • Pasadena, CA
  • NPI 1326272766
  Care Compare affiliation
• N&D Health Care Services, Inc.

  • Home Health Agency
  • Pasadena, CA
  • NPI 1790870491
  Care Compare affiliation
• St Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216
  Care Compare affiliation
• St. Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1558575746
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1275536633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W. LA VETA AVENUE",
            "address_2": "SUITE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684246",
            "telephone_number": "657-210-4096",
            "fax_number": "657-210-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W. LA VETA AVENUE",
            "address_2": "SUITE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684246",
            "telephone_number": "657-210-4096",
            "fax_number": "657-210-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLMAN",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2015-10-14",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G84341",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "G84341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Nunnally Gilles, LCSW
• Andrea Lynn Gillette
• Jamie Gilliam, NP
• Juraporn Chotipong Gilliam I
• Sabrina Marie Gillian, LCSW
• Rachel H Gilmore
• Kimberly M Gimenez, MD
• Raunnit Ginson
• Kristine Giovanoli
• Melina Gipson, M.ED

• Orthopaedic Surgery Physician in Orange, CA
• Providers in Orange, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.