Carl C Van Gils

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

373938-0501 Issued in UT

Practice address

754 South Main
Suite 3
St George, UT 84770-5504

Phone

(435) 628-2671

Fax

(435) 634-1601

NPI assigned

Jul 7, 2005

Last updated

Jan 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

92.29 of 100Reported as individual

Quality

74.57

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drvangils@faaii-ut.direct.office.nextgen.com

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.

• The Foot & Ankle Institute LLC

  • Podiatrist
  • St George, UT
  • NPI 1134158397
  Medicare reassignment NPD
• Paiute Indian Tribe of Utah

  dba Four Points Health

  • Clinic/Center
  • Cedar City, UT
  • NPI 1700062296
  NPD (past)
• Paiute Indian Tribe of Utah

  • Federally Qualified Health Center (FQHC)
  • St George, UT
  • NPI 1801063441
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1518964212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 SOUTH MAIN",
            "address_2": "SUITE 3",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705504",
            "telephone_number": "435-628-2671",
            "fax_number": "435-634-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 SOUTH MAIN",
            "address_2": "SUITE 3",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705504",
            "telephone_number": "435-628-2671",
            "fax_number": "435-634-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN GILS",
        "first_name": "CARL",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "373938-0501",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "373938-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Obstetrics and Gynecology, PC (Southern Utah Women's Health Center, PC)
• Elizabeth Kay Valo
• Madeline Leah Van de Bussche
• Eilkje Van Der Koij
• Emma Van Drimmelen
• Kimberly Kleinman Van Gils
• Steven Allan Van Norman, MD
• Jacob Van Orman
• Tyler Van Tassell, LMFT
• Amanda Van Valkenburg-Thorum, L.M.T.

• Foot & Ankle Surgery Podiatrist in St George, UT
• Providers in St George, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.