Individual provider Active NPI

Jeffrey Gilles, MD

  • Orthopaedic Surgery Physician
  • Sunnyside, WA
National Provider Identifier
1417004334
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD.MD.60390364 Issued in WA
Practice address
1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone
(509) 837-1500
NPI assigned
Jan 4, 2007
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 40260 CO
Orthopaedic Surgery Physician 207X00000X MD.MD.60390364 WA Primary

Addresses

Primary practice location

1016 Tacoma Ave
Sunnyside, WA 98944-2263

Mailing address

PO Box 719
Sunnyside, WA 98944-0719
Phone (509) 837-1617

Other identifiers 2

IdentifierTypeStateIssuer
249722504OtherOKPERSONAL PTAN
41713OtherMTSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20131202000318 WA Practitioner - Orthopedic Surgery 4981633716 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of North Dakota School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SHC Medical Center ToppenishGroup PAC ID 4082980065, 43 clinicians

Practice addresses (Care Compare)

2705 E Lincoln Ave
Sunnyside, WA 98944-4006
Phone (509) 836-4848

502 W 4TH Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40260COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association CurrentSince Jul 1, 2021 Accepting new patients
Sunnyside Community Hospital Association Orthopaedic Surgery CurrentSince Jul 1, 2021 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Jul 1, 2021 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
SHC Medical Center Toppenish CurrentSince Jul 1, 2021 Accepting new patients
SHC Medical Center Toppenish Current Accepting new patients
Sunnyside Community Hospital Association Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

2705 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 836-4848

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

1420 Ahtanum Ridge Dr
Union Gap, WA 98903
Phone (509) 454-7700

915 Vintage Valley Pkwy
Ste 200
Zillah, WA 98953
Phone (509) 314-6565

Organizations & group practices 8

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1417004334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 TACOMA AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442263",
            "telephone_number": "509-837-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLES",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "40260",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD.MD.60390364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL PTAN",
            "identifier": "249722504",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "41713",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, WA

Sources for this page

Verify at the official NPI Registry.