Individual provider Active NPI

Allen J Gilson, M.D.

  • Pulmonary Disease Physician
  • Frederick, MD
National Provider Identifier
1346241346
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D0026516 Issued in MD
Practice address
7115 Guilford Dr
Suite #202
Frederick, MD 21704-5199
Phone
(301) 663-5922
Fax
(301) 663-8292
NPI assigned
Aug 2, 2005
Last updated
Jul 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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 D0026516 MD
Pulmonary Disease Physician 207RP1001X D0026516 MD Primary

Addresses

Primary practice location

7115 Guilford Dr
Suite #202
Frederick, MD 21704-5199

Mailing address

7115 Guilford Dr
Suite #202
Frederick, MD 21704-5199
Phone (301) 663-5922

Other identifiers 1

IdentifierTypeStateIssuer
330111700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20100827000032 MD Practitioner - Geriatric MedicinePractitioner - Internal MedicinePractitioner - Pulmonary Disease 7719001791 Reassigns benefits to 2 organizations
I20161028000876 DC Practitioner - Internal Medicine 7719001791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6695 Stone Ridge CT
Frederick, MD 21702-2989
Phone (301) 788-7400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0026516MDMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allen J Gilson M.D. LLC CurrentSince Feb 1, 2011 Accepting new patients
Frederick Health Hospital Inc CurrentSince Feb 23, 2014 Accepting new patients
Frederick Health Hospital Inc CurrentSince Feb 23, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1346241346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 GUILFORD DR",
            "address_2": "SUITE #202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045199",
            "telephone_number": "301-663-5922",
            "fax_number": "301-663-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 GUILFORD DR",
            "address_2": "SUITE #202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045199",
            "telephone_number": "301-663-5922",
            "fax_number": "301-663-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSON",
        "first_name": "ALLEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0026516",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0026516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330111700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.