Individual provider Active NPI

John Gill, DO

  • Internal Medicine Physician
  • Monroeville, PA
National Provider Identifier
1366720443
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS015915 Issued in PA
Practice address
2750 Haymaker Rd
Monroeville, PA 15146
Phone
(412) 858-7618
Fax
(412) 858-7628
NPI assigned
Jul 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS015915 PA Primary

Addresses

Primary practice location

2750 Haymaker Rd
Monroeville, PA 15146

Mailing address

3824 Northern Pike
Ste 700
Monroeville, PA 15146-2141
Phone (412) 457-0060

Other identifiers 4

IdentifierTypeStateIssuer
2731879OtherPAHIGHMARK
200181OtherPAUPMC
9024938OtherPAAETNA
1028633970001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgill10851@direct.ahn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20121129000387 PA Practitioner - Internal Medicine 2466604343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Associates PCGroup PAC ID 9830003235, 104 clinicians

Practice addresses (Care Compare)

2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 858-7618

Hospital & facility affiliations

  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates, PC CurrentSince Dec 3, 2012 Accepting new patients
Premier Medical Associates PC Internal Medicine CurrentSince Dec 3, 2012 Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients

Locations

3824 Northern Pike
Ste 700
Monroeville, PA 15146
Phone (412) 457-0060

3824 Northern Pike
Ste 300
Monroeville, PA 15146
Phone (412) 856-5335

2570 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2000

3824 Northern Pike
Ste 200
Monroeville, PA 15146
Phone (412) 380-2800

Interoperability endpoints

  • Direct secure messaging: jgill10851@direct.ahn.org

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.

Hospital & facility affiliations 1

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": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1366720443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE",
            "address_2": "STE 700",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462141",
            "telephone_number": "412-457-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 HAYMAKER RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "15146",
            "telephone_number": "412-858-7618",
            "fax_number": "412-858-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-24",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS015915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2731879",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "200181",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9024938",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028633970001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgill10851@direct.ahn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2750 Haymaker Rd",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.