Individual provider Active NPI

Baljinder Singh Gill, D.C

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1629480678
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60473781 Issued in WA
Practice address
10620 NE 8TH St
Suite 201
Bellevue, WA 98004-4380
Phone
(425) 999-9633
NPI assigned
May 27, 2014
Last updated
Oct 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 60473781 WA Primary

Addresses

Primary practice location

10620 NE 8TH St
Suite 201
Bellevue, WA 98004-4380

Mailing address

9528 State Ave
Ste B
Marysville, WA 98270-2279
Phone (425) 299-5812

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150112000003 WA Practitioner - Chiropractic 4486978921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Symmetria Integrative MedicalGroup PAC ID 7315222874, 2 clinicians

Practice addresses (Care Compare)

9528 State Ave
Suite B
Marysville, WA 98270-2279
Phone (360) 659-6554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60473781WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seahurst Chiropractic Clinic Inc. Chiropractor CurrentSince Oct 17, 2016 Accepting new patients
Symmetria Integrative Medical CurrentSince Jun 7, 2017 Accepting new patients
Master Group LLC Chiropractor Past Accepting new patients

Locations

215 E 3rd St
Arlington, WA 98223
Phone (360) 474-9900

15811 Ambaum Blvd SW
Ste 1
Burien, WA 98166
Phone (206) 242-8211

9528 State Ave
Ste B
Marysville, WA 98270
Phone (360) 659-6554

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1629480678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9528 STATE AVE",
            "address_2": "STE B",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702279",
            "telephone_number": "425-299-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 NE 8TH ST",
            "address_2": "SUITE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044380",
            "telephone_number": "425-999-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "BALJINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60473781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.