Individual provider Active NPI

Roop Monica Gill, MD

  • Plastic Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1326201146
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME140284 Issued in FL
Practice address
1920 Palm Beach Lakes Blvd Ste 118
West Palm Beach, FL 33409-3505
Phone
(561) 388-9571
Fax
(561) 404-8715
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A110466 CA
Student in an Organized Health Care Education/Training Program 390200000X MT186534 PA
Plastic Surgery Physician 208200000X ME140284 FL Primary

Addresses

Primary practice location

1920 Palm Beach Lakes Blvd Ste 118
West Palm Beach, FL 33409-3505

Mailing address

1920 Palm Beach Lakes Blvd Ste 118
West Palm Beach, FL 33409-3505
Phone (561) 388-9571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140623002775 CA Practitioner - Plastic and Reconstructive Surgery 9739303256 Reassigns benefits to 2 organizations
I20200403001493 FL Practitioner - Plastic and Reconstructive Surgery 9739303256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1920 Palm Beach Lakes Blvd
Suite 118
West Palm Beach, FL 33409-3505
Phone (561) 388-9571

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision14
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110466CAMDPlastic Surgery Physician
MT186534PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince May 1, 2014 Accepting new patients
Premier Healthcare of Placerville CurrentSince Sep 5, 2019 Accepting new patients
County of Los Angeles CurrentSince May 1, 2014 Accepting new patients

Locations

1980 Broadway
Placerville, CA 95667
Phone (530) 622-3536

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Organizations & group practices 4

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1326201146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 PALM BEACH LAKES BLVD STE 118",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093505",
            "telephone_number": "561-388-9571",
            "fax_number": "561-404-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 PALM BEACH LAKES BLVD STE 118",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093505",
            "telephone_number": "561-388-9571",
            "fax_number": "561-404-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "ROOP",
        "middle_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A110466",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT186534",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME140284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.