Individual provider Active NPI

Rajbinderpal Gill

  • Internal Medicine Physician
  • Hollywood, MD
National Provider Identifier
1487688164
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0056096 Issued in MD
Practice address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone
(301) 373-7400
Fax
(301) 373-6400
NPI assigned
Jul 10, 2006
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D56096 MD
Internal Medicine Physician 207R00000X D0056096 MD Primary

Addresses

Primary practice location

24035 Three Notch Rd
Hollywood, MD 20636-4871

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871

Other identifiers 3

IdentifierTypeStateIssuer
53602400MedicaidMD
053602400MedicaidMD
110209748OtherMDMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101028000399 MD Practitioner - Internal Medicine 3274727839 Reassigns benefits to 1 organization
I20230424001379 DC Practitioner - Internal Medicine 3274727839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Saint Patricks Dr
Waldorf, MD 20603-4527
Phone (301) 373-7900

22590 Shady CT
California, MD 20619-5009
Phone (301) 373-7900

23415 Three Notch Rd
Suite 2051
California, MD 20619-4018
Phone (301) 373-7700

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (301) 373-7900

950 E Swann Creek Rd
Fort Washington, MD 20744
Phone (301) 292-7270

PO Box
Suite 640
Hollywood, MD 20636-0640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D56096MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Internal Medicine CurrentSince Jan 12, 2023 Accepting new patients
Medstar Southern Maryland Physicians, LLC Past Accepting new patients

Locations

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

22650 Cedar Lane Ct
Leonardtown, MD 20650
Phone (301) 475-5021

Interoperability endpoints

  • Direct secure messaging: rajbinder.gillmd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 4

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 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1487688164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871",
            "telephone_number": "301-373-7400",
            "fax_number": "301-373-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "RAJBINDERPAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D56096",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0056096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53602400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053602400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110209748",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, MD

Sources for this page

Verify at the official NPI Registry.