NPIMap

Individual provider Active NPI

Gurpreet Gill, M.D

  • Vascular Surgery Physician
  • Southampton, NY
National Provider Identifier
1548599533
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
276197 Issued in NY
Practice address
676 County Road 39a
Southampton, NY 11968-5241
Phone
(934) 213-4970
Fax
(934) 213-4971
NPI assigned
Dec 22, 2009
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 276197 NY Primary

Addresses

Primary practice location

676 County Road 39a
Southampton, NY 11968-5241

Mailing address

676 County Road 39a
Southampton, NY 11968-5241
Phone (934) 213-4970

Other practice location 1

44360 County Road 48
Southold, NY 11971-5033
Phone (934) 213-4970

Other identifiers 1

IdentifierTypeStateIssuer
03917388MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140820002700 NY Practitioner - Vascular Surgery 4789802562 Reassigns benefits to 3 organizations
Practice locations: Riverhead, NY; Port Jefferson STN, NY

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 W Montauk Hwy
Life Care Ctr
Hampton Bays, NY 11946
Phone (631) 723-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
89.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.58 of 100Reported as group
Quality
48.65
Improvement activities
40
Cost
85.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal16
Leg revascularization (restoring blood flow)33
Removal of tissue235

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Suffolk Hospital CurrentSince Jan 4, 2023 Accepting new patients
Stony Brook Surgical Associates, University Faculty Practice Corporati CurrentSince Sep 24, 2024 Accepting new patients
Suffolk Vascular Associates, PLLC Vascular Surgery CurrentSince Aug 1, 2015 Accepting new patients
Central Suffolk Hosptial CurrentSince Jan 4, 2023 Accepting new patients
University Hospital at Stony Brook Past Accepting new patients
Suffolk Interventional Suites Inc. PastSince Nov 1, 2016 Accepting new patients
Stony Brook Family and Preventive Medicine, University Faculty Practic Past Accepting new patients

Locations

1110 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 476-9100

1110 Hallock Ave
#B
Port Jefferson Station, NY 11776
Phone (631) 476-9100

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

37 Research Way
Setauket, NY 11733
Phone (631) 444-4121

676 County Road 39A
Southampton, NY 11968
Phone (631) 283-2070

44360 County Road 48
Southold, NY 11971
Phone (631) 638-0597

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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 7

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": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1548599533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 COUNTY ROAD 39A",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685241",
            "telephone_number": "934-213-4970",
            "fax_number": "934-213-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 COUNTY ROAD 39A",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685241",
            "telephone_number": "934-213-4970",
            "fax_number": "934-213-4971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44360 County Road 48",
            "address_purpose": "LOCATION",
            "city": "Southold",
            "state": "NY",
            "postal_code": "119715033",
            "country_code": "US",
            "telephone_number": "934-213-4970",
            "fax_number": "934-213-4971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "GURPREET",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-22",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "276197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03917388",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

Verify at the official NPI Registry.