Individual provider Active NPI

Jasmeet Gill, M.D.

  • Internal Medicine Physician
  • Lockport, NY
National Provider Identifier
1275702300
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
258136 Issued in NY
Practice address
6000 Brockton Dr
Suite 101
Lockport, NY 14094-9273
Phone
(716) 795-0077
Fax
(716) 795-0088
NPI assigned
Feb 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 258136 NY Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 258136 NY

Addresses

Primary practice location

6000 Brockton Dr
Suite 101
Lockport, NY 14094-9273

Mailing address

6000 Brockton Dr
Suite 101
Lockport, NY 14094-9273
Phone (716) 795-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101118000010 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0446446363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amandeep Pal MD PLLCGroup PAC ID 1254655293, 4 clinicians

Practice addresses (Care Compare)

521 E Ave
Eastern Niagara Hospital
Lockport, NY 14094-9497
Phone (716) 514-5700

6030 Edward Ave
Newfane, NY 14108-1009
Phone (716) 795-0077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258136NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amandeep Pal MD PLLC CurrentSince Dec 1, 2015 Accepting new patients
M. Ashraf Sahaf, Physician , P.C. Past Accepting new patients

Locations

5854 Snyder Dr
Lockport, NY 14094
Phone (716) 575-0075

6000 Brockton Dr
Ste 101
Lockport, NY 14094
Phone (716) 795-0077

521 East Ave
Lockport, NY 14094
Phone (716) 434-9111

6334 Robinson Rd
Lockport, NY 14094
Phone (716) 795-0077

6030 Edward Ave
Newfane, NY 14108
Phone (716) 778-7994

Interoperability endpoints

  • Direct secure messaging: drgill@amandeeppal.medentdirect.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 1

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": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1275702300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BROCKTON DR",
            "address_2": "SUITE 101",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949273",
            "telephone_number": "716-795-0077",
            "fax_number": "716-795-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BROCKTON DR",
            "address_2": "SUITE 101",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949273",
            "telephone_number": "716-795-0077",
            "fax_number": "716-795-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "JASMEET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258136",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "258136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.