Individual provider Active NPI

Baljit Singh Gill, M.D.

  • Psychiatry Physician
  • Newport News, VA
National Provider Identifier
1356303366
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101036840 Issued in VA
Practice address
703 Thimble Shoals Blvd
A3
Newport News, VA 23606-2576
Phone
(757) 873-3401
Fax
(757) 223-1165
NPI assigned
Apr 5, 2006
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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 0101036840 VA Primary

Addresses

Primary practice location

703 Thimble Shoals Blvd
A3
Newport News, VA 23606-2576

Mailing address

703 Thimble Shoals Blvd
A3
Newport News, VA 23606-2576
Phone (757) 873-3401

Other identifiers 1

IdentifierTypeStateIssuer
4945301MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070703000675 VA Practitioner - Psychiatry 7810097896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colonial Behavioral HealthGroup PAC ID 7012010549, 18 clinicians

Practice addresses (Care Compare)

3804 George Washington Memorial Hwy
Yorktown, VA 23692
Phone (757) 898-7926

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical and Psychiatric Services Inc. Psychiatry CurrentSince Nov 1, 2018 Accepting new patients
Colonial Behavioral Health CurrentSince Dec 17, 2021 Accepting new patients
Orohealth Corporation a Non Profit Healthcare System Past Accepting new patients
Colonial Behavioral Health Past Accepting new patients

Locations

825 Diligence Dr
Ste 206
Newport News, VA 23606
Phone (757) 310-6900

1657 Merrimac Trl
Williamsburg, VA 23185
Phone (757) 220-3200

3804 George Washington Mem Hwy
Yorktown, VA 23692
Phone (757) 898-7926

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2b8c86f5-c497-45b0-94ed-0102e20d1c70/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1356303366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 THIMBLE SHOALS BLVD",
            "address_2": "A3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062576",
            "telephone_number": "757-873-3401",
            "fax_number": "757-223-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 THIMBLE SHOALS BLVD",
            "address_2": "A3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062576",
            "telephone_number": "757-873-3401",
            "fax_number": "757-223-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "BALJIT",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101036840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4945301",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.