Individual provider Active NPI

Kuldip Singh Gill, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Grass Valley, CA
National Provider Identifier
1295882769
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A61538 Issued in CA
Practice address
280 Sierra College Dr.
Suite 205
Grass Valley, CA 95945-5701
Phone
(530) 273-8452
Fax
(530) 477-5182
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A61538 CA Primary

Addresses

Primary practice location

280 Sierra College Dr.
Suite 205
Grass Valley, CA 95945-5701

Mailing address

280 Sierra College Dr.
Sutie 205
Grass Valley, CA 95945-5701
Phone (530) 273-8452

Other identifiers 2

IdentifierTypeStateIssuer
00A0615381MedicaidCA
A061538OtherCASTATE LICENSE

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
I20040407001103 CA Practitioner - Internal Medicine 7719970821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grass Valley Extended Care IncGroup PAC ID 7416262589, 3 clinicians
Kuldip Gill M D P CGroup PAC ID 7911990023, 3 clinicians

Practice addresses (Care Compare)

280 Sierra College Dr
Suite 205
Grass Valley, CA 95945-5763
Phone (530) 273-8452

Hospital & facility affiliations

  • Northstar Healthcare Services Home health agency, Sacramento, CA, CCN 757243
  • Advanced Home Health, Inc Home health agency, Sacramento, CA, CCN 058426
  • Progressive Home Care - Auburn Home health agency, Auburn, CA, CCN 557482
  • Aspire Home Healthcare of Northern California, Inc Home health agency, Yuba City, CA, CCN 059707
  • Caringhand Home Health Solutions, Inc Home health agency, Sacramento, CA, CCN 559558
  • Hospice of the Foothills Hospice, Grass Valley, CA, CCN 051629
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
  • Grass Valley Healthcare Center Nursing home, Grass Valley, CA, CCN 055640

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61538CAMDOrthodontics and Dentofacial Orthopedic Dentist
A61538CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grass Valley Extended Care Inc CurrentSince Jan 1, 2016 Accepting new patients
Kuldip Gill M D P C CurrentSince Mar 6, 1997 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Cogent Healthcare of California, PC Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients

Locations

7803 Madison Ave
Bldg A
Citrus Heights, CA 95610
Phone (916) 258-9188

7803 Madison Ave
Ste A
Citrus Heights, CA 95610

5959 Greenback Ln
Ste 210
Citrus Hts, CA 95621
Phone (916) 481-6216

280 Sierra College Dr
Ste 205
Grass Valley, CA 95945
Phone (530) 273-8452

355 Joerschke Dr
Grass Valley, CA 95945
Phone (530) 272-7837

280 Sierra College Dr
Grass Valley, CA 95945
Phone (530) 273-8452

280 Sierra College Dr
Ste 210
Grass Valley, CA 95945
Phone (530) 273-8452

6135 King Rd
Ste A
Loomis, CA 95650
Phone (916) 652-0427

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grass Valley Healthcare CenterGrass Valley, CA, CCN 055640 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 30, 2024
Dec 30, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 9

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1295882769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SIERRA COLLEGE DR.",
            "address_2": "SUTIE 205",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455701",
            "telephone_number": "530-273-8452",
            "fax_number": "530-477-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SIERRA COLLEGE DR.",
            "address_2": "SUITE 205",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455701",
            "telephone_number": "530-273-8452",
            "fax_number": "530-477-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "KULDIP",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A61538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A0615381",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A061538",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.