Organization Active NPI

SS Gill, MD,LLC

  • Surgery Physician
  • Troy, AL
National Provider Identifier
1437240652
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
26041 Issued in AL
Legal business name
SS GILL, MD,LLC
Practice address
145 Scouting Cir
Troy, AL 36081-2540
Phone
(334) 770-2222
Fax
(334) 770-2224
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Dr. Satinderjit S Gill, MDNPI 1104932631
Title
Physician/Owner
Phone
(334) 770-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 26041 AL Primary

Addresses

Primary practice location

145 Scouting Cir
Troy, AL 36081-2540

Mailing address

145 Scouting Cir
Troy, AL 36081-2540
Phone (334) 770-2222

Other identifiers 1

IdentifierTypeStateIssuer
122092MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101209001302 AL Part B Supplier - Clinic/Group Practice 5698774560 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, AL

National Provider Directory

National Provider Directory

Locations

145 Scouting Cir
Troy, AL 36081
Phone (334) 770-2222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1437240652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SCOUTING CIR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812540",
            "telephone_number": "334-770-2222",
            "fax_number": "334-770-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SCOUTING CIR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812540",
            "telephone_number": "334-770-2222",
            "fax_number": "334-770-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS GILL, MD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "SATINDERJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "334-770-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "26041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122092",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.