Active NPI
Tariq Gill, MD
- Diagnostic Radiology Physician
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 146501
- Practice address
- 711 Troy-Schenectady Road
Latham, NY 12110 - Phone
- (518) 782-3700
- Fax
- (518) 782-3799
- NPI assigned
- Oct 31, 2005
- Last updated
- Oct 31, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 146501 | NY | Primary |
Addresses
Primary practice location
711 Troy-Schenectady Road
Latham, NY 12110
Mailing address
711 Troy-Schenectady Road
Suite 203
Latham, NY 12110
Phone (518) 782-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00864902 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
159 Jefferson HTS
Catskill, NY 12414-1237
Phone (518) 828-7601
1690 Renaissance Commons Blvd
Apt 1528
Boynton Beach, FL 33426-7214
Phone (518) 785-5881
1783 Route 9
Halfmoon, NY 12065-2465
2827 US Route 9
Valatie, NY 12184-0785
Phone (518) 828-8051
43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5149
6 Wellness Way
Latham, NY 12110-2156
Phone (518) 782-3700
711 Troy Schenectady Rd
Latham, NY 12110-2461
801 S Olive Ave
Unit 1517
West Palm Beach, FL 33401-6181
Phone (518) 262-3277
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146501 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current | Accepting new patients | |
| Ellis Hospital | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical Center Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Community Care Physicians, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Albany Medical College | Diagnostic Radiology | Current | Accepting new patients |
| Community Care Physicians, PC | Past | Accepting new patients | |
| Comprehensive MRI of New York, P.C. | Past | Accepting new patients | |
| Stand-Up MRI of Bensonhurst, PC | Diagnostic Radiology | Past | Accepting new patients |
| Comprehensive MRI of New York, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Millennium Medical Imaging PC | Diagnostic Radiology | Past | Accepting new patients |
| Stand-Up MRI of Staten Island, PC | Diagnostic Radiology | Past | Accepting new patients |
| Lucia's Pharmacy Inc. | Past | Accepting new patients |
Locations
1365 Washington Ave
Ste 103
Albany, NY 12206
Phone (518) 465-6501
1367 Washington Ave
Albany, NY 12206
Phone (518) 438-7926
43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
47 New Scotland Ave
#113
Albany, NY 12208
71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773
396 Broadway
Kingston, NY 12401
Phone (845) 331-3131
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900
711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705
211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
Interoperability endpoints
- tgill24861@albanymed.direct-ci.com
Organizations & group practices 14
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.
-
dba AMCH Dept of Radiology
- Diagnostic Radiology Physician
- Albany, NY
- NPI 1609806520
FL
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
Diagnostic Radiology, FL
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
dba Albany Medical College Dept of Radiology
- Body Imaging Physician
- Albany, NY
- NPI 1982634804
Diagnostic Radiology
-
dba Community Care Lab Care
- Internal Medicine Physician
- Latham, NY
- NPI 1023380714
-
dba Comprehensive MRI of White Plains
- Magnetic Resonance Imaging (MRI) Clinic/Center
- White Plains, NY
- NPI 1043742927
-
dba Stand-Up MRI of East Setauket
- Diagnostic Radiology Physician
- East Setauket, NY
- NPI 1124093018
-
- Community/Retail Pharmacy
- Staten Island, NY
- NPI 1790320752
-
- Diagnostic Radiology Physician
- Saratoga Springs, NY
- NPI 1235114182
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
dba Albany Medical Center South Clinical Campus
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
-
- General Acute Care Hospital
- Hudson, NY
- NPI 1528024718
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1629069679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY-SCHENECTADY ROAD",
"address_2": "SUITE 203",
"city": "LATHAM",
"state": "NY",
"postal_code": "12110",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 TROY-SCHENECTADY ROAD",
"city": "LATHAM",
"state": "NY",
"postal_code": "12110",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "TARIQ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "146501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00864902",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.