NPIMap

Individual provider Active NPI

Shaun David Gill, D.O.

  • Internal Medicine Physician
  • Doylestown, PA
National Provider Identifier
1427389766
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS018487 Issued in PA
Practice address
595 West State Street
Doylestown, PA 18901-5318
Phone
(215) 345-2885
Fax
(215) 345-2552
NPI assigned
Jan 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2512 TN
Internal Medicine Physician 207R00000X 861 NE
Internal Medicine Physician 207R00000X OS018487 PA Primary

Addresses

Primary practice location

595 West State Street
Doylestown, PA 18901-5318

Mailing address

PO Box 829641
Philadelphia, PA 19182-9641
Phone (215) 933-0259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170216002498 PA Practitioner - HospitalistPractitioner - Internal Medicine 6709011570 Reassigns benefits to 4 organizations
I20230425000340 NJ Practitioner - Internal Medicine 6709011570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-3212

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (610) 954-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
861NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Feb 1, 2023 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Oct 1, 2019 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Feb 1, 2023 Accepting new patients
Via Affiliates CurrentSince Oct 1, 2017 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Dec 20, 2016 Accepting new patients
Via Affiliates CurrentSince Oct 1, 2017 Accepting new patients
Gslpg, Inc CurrentSince Feb 12, 2024 Accepting new patients
Via Affiliates Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Lukes Hospital Past Accepting new patients
St Luke's Hospital Past Accepting new patients
St. Luke's Hospital Past Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients

Locations

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285

Interoperability endpoints

  • Direct secure messaging: shaun.gill@slpg.direct-sluhn.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 11

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": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1427389766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829641",
            "telephone_number": "215-933-0259",
            "fax_number": "215-933-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 WEST STATE STREET",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189015318",
            "telephone_number": "215-345-2885",
            "fax_number": "215-345-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "SHAUN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-27",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2512",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "861",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS018487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.