Active NPI
Chamkaur Gill, NP
- Nurse Practitioner
- Farmington Hills, MI
National Provider Identifier
1477970531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704157367
- Practice address
- 39353 Heatherbrook Dr
Farmington Hills, MI 48331-2918 - Phone
- (313) 565-6663
- Fax
- (313) 565-6632
- NPI assigned
- Mar 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704157367 | MI | Primary |
Addresses
Primary practice location
39353 Heatherbrook Dr
Farmington Hills, MI 48331-2918
Mailing address
24224 Joy Rd
Suite 101
Redford, MI 48239-1215
Phone (313) 565-6663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477970531 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704157367 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nabil Metwally MD PC | Current | Accepting new patients |
Locations
24224 Joy Rd
Ste 101
Redford, MI 48239
Phone (248) 305-6154
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Redford, MI
- NPI 1922116128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1477970531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24224 JOY RD",
"address_2": "SUITE 101",
"city": "REDFORD",
"state": "MI",
"postal_code": "482391215",
"telephone_number": "313-565-6663",
"fax_number": "313-565-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39353 HEATHERBROOK DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483312918",
"telephone_number": "313-565-6663",
"fax_number": "313-565-6632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "CHAMKAUR",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-26",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704157367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477970531",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.