Individual provider Active NPI

Kanwaljit S Gill, MD

  • Cardiovascular Disease Physician
  • Palmdale, CA
National Provider Identifier
1477612752
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A53800 Issued in CA
Practice address
38656 Medical Center Drive
Suite a
Palmdale, CA 93551
Phone
(661) 940-4444
Fax
(661) 940-4446
NPI assigned
Dec 6, 2006
Last updated
Jul 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A53800 CA Primary

Addresses

Primary practice location

38656 Medical Center Drive
Suite a
Palmdale, CA 93551

Mailing address

38656 Medical Center Drive
Suite a
Palmdale, CA 93551
Phone (661) 940-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041006000364 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular DiseasePractitioner - Internal Medicine 5193784155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Peripheral Vascular Disease
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kanwaljit Gill MD IncGroup PAC ID 8729246806, 3 clinicians

Practice addresses (Care Compare)

38656 Medical Ctr Dr
Suite a
Palmdale, CA 93551-4695
Phone (661) 940-4444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.15 of 100Reported as group
Quality
84.34
Improvement activities
40
Cost
78.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18
Pacemaker insertion or repair14
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53800CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kanwaljit Gill MD Inc Cardiovascular Disease CurrentSince Jan 1, 2012 Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Kenneth V. Miselis, M.D. Inc. Past Accepting new patients

Locations

43807 10th St W
Ste D
Lancaster, CA 93534
Phone (661) 575-9365

38636 Medical Center Dr
Ste A
Palmdale, CA 93551

38656 Medical Center Dr
Ste A
Palmdale, CA 93551
Phone (661) 916-9416

1533 N Downs St
Ridgecrest, CA 93555
Phone (760) 446-2900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kanwaljit.gill.p11@direct.hdmgipa.nextgenshare.com

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

Hospital & facility affiliations 5

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1477612752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38656 MEDICAL CENTER DRIVE",
            "address_2": "SUITE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-940-4444",
            "fax_number": "661-940-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38656 MEDICAL CENTER DRIVE",
            "address_2": "SUITE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-940-4444",
            "fax_number": "661-940-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "KANWALJIT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A53800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.