Gurbir Johal, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

125-060783 Issued in IL

Practice address

5840 S. Maryland Ave., Mc4028,
U of Chicago, Dept of Anesthesia
Chicago, IL 60637

Phone

(773) 702-6700

NPI assigned

Jun 22, 2012

Last updated

Jun 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

Rutgers New Jersey Medical School, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prestige Pain Centers PCGroup PAC ID 1557635430, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Prestige Pain Centers PC

  • Interventional Pain Medicine Physician
  • Carteret, NJ
  • NPI 1649706896
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1578826723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HORSESHOE CT",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088312368",
            "telephone_number": "732-306-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 S. MARYLAND AVE., MC4028,",
            "address_2": "U OF CHICAGO, DEPT OF ANESTHESIA",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60637",
            "telephone_number": "773-702-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHAL",
        "first_name": "GURBIR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125-060783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel R Anderson PC (Advanced Foot & Ankle Centers)
• Joel R. Anderson, PC (Advanced Foot & Ankle Centers of Illinois)
• Joelle Spiegel LCSW PLLC
• Joey Allaire, PLLC
• Maria Joh
• Inderbir S. Johal, MD
• Kevin Johal, MD
• Rayman Johal, MD
• Andrew J Johanek
• Michelle Jennifer Johann, LPC

• Anesthesiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.