Kanwaljit S Gill, MD
Individual provider Active NPI Cardiovascular Disease Physician · Palmdale, CA
NPI 1477612752 · NPPES record last updated Jul 20, 2012
Key facts
- NPI
- 1477612752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- A53800 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kanwaljit Gill MD Inc
Practice addresses (Care Compare)
38656 Medical Ctr Dr
Suite a
Palmdale, CA 93551-4695
Phone (661) 940-4444
Hospital & facility affiliations
- Blue Sky Home Health Care, Inc
- Palmdale Regional Medical Center
- Ridgecrest Regional Hospital
- Antelope Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.15 of 100
- Quality
- 84.34
- Improvement activities
- 40
- Cost
- 78.03
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
| Pacemaker insertion or repair | 14 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041006000364 | CA | Practitioner - Cardiovascular Disease (Cardiology) |
5193784155 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53800 | CA | MD | Cardiovascular Disease Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanwaljit Gill MD Inc | Cardiovascular Disease | Current |
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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kanwaljit.gill.p11@direct.hdmgipa.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A53800 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A538000 | Medicaid | CA |
Other providers in Palmdale, CA
- Gilbert H. Snow DDS Inc
- Gilbert Snow
- Lisa Gilbert
- Arvinder Singh Gill
- Chrystal Gill
- Surinder Gill
- Carole Gilmer
- Karen Johnsen Gilmore
- Michael Paul Giovannini
- Carla Gladwin
All providers in Palmdale, CA · Cardiovascular Disease Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.