Individual provider Active NPI

Donna Renee Gill, MD

  • Psychiatry Physician
  • Zionsville, IN
National Provider Identifier
1316101363
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01069873A Issued in IN
Practice address
1650 W Oak St Ste 200
Zionsville, IN 46077-3836
Phone
(765) 680-0071
Fax
(765) 680-0468
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01069873A IN Primary

Addresses

Primary practice location

1650 W Oak St Ste 200
Zionsville, IN 46077-3836

Mailing address

2605 N Lebanon St
Lebanon, IN 46052-1476

Other practice location 1

1310 S Lebanon St
Lebanon, IN 46052-3076
Phone (765) 680-0071

Other identifiers 1

IdentifierTypeStateIssuer
201028800MedicaidIN

Other names 1

  • Dr. D Renee Gill Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgill@withamdirect.org Health Information Exchange (HIE) Witham Memorial Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110811000138 IN Practitioner - Psychiatry 1052580982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
52.55 of 100Reported as group
Quality
20.43
Promoting interoperability
98
Improvement activities
0
Cost
73.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness, LLC Psychiatry CurrentSince Jun 8, 2020 Accepting new patients
Major Hospital Past Accepting new patients
Community Health Network, Inc. Past Accepting new patients

Locations

2485 E Wabash St
Frankfort, IN 46041
Phone (765) 656-3900

1310 S Lebanon St
Ste C
Lebanon, IN 46052
Phone (765) 201-0407

1650 W Oak St
Ste 200
Zionsville, IN 46077
Phone (317) 912-1399

Interoperability endpoints

  • Direct secure messaging: renee.gill.p1@direct.meridianhs.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1316101363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W OAK ST STE 200",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460773836",
            "telephone_number": "765-680-0071",
            "fax_number": "765-680-0468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 S Lebanon St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "IN",
            "postal_code": "460523076",
            "country_code": "US",
            "telephone_number": "765-680-0071",
            "fax_number": "765-436-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "DONNA",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01069873A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201028800",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgill@withamdirect.org",
            "affiliation": "Y",
            "affiliationName": "Witham Memorial Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1650 W Oak St Ste 200",
            "city": "Zionsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460773836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "D",
            "last_name": "GILL",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.