Organization Active NPI

Gill Internal Medicine L.L.C.

  • Internal Medicine Physician
  • Liberal, KS
National Provider Identifier
1578833141
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4-29100 Issued in KS
Legal business name
GILL INTERNAL MEDICINE L.L.C.
Practice address
111 E Tucker Rd Ste F
Liberal, KS 67901-2191
Phone
(620) 624-1100
NPI assigned
Jan 12, 2012
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Varinder Singh Gill, M.D.NPI 1669586855
Title
Manager/Owner
Phone
(620) 624-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4-29100 KS Primary

Addresses

Primary practice location

111 E Tucker Rd Ste F
Liberal, KS 67901-2191

Mailing address

PO Box 7
Liberal, KS 67905-0007
Phone (620) 624-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120127000967 KS Part B Supplier - Clinic/Group Practice 1557528874 Receives reassigned benefits from 1 practitioner
Practice locations: Liberal, KS

National Provider Directory

National Provider Directory

Locations

111 E Tucker Rd
Ste F
Liberal, KS 67901
Phone (620) 624-1100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1578833141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679050007",
            "telephone_number": "620-624-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E TUCKER RD STE F",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012191",
            "telephone_number": "620-624-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILL INTERNAL MEDICINE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "VARINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "620-624-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "4-29100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.