Individual provider Active NPI

John Gilstad, MD

  • Geriatric Medicine (Internal Medicine) Physician
National Provider Identifier
1669473856
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
47855 Issued in MD
Practice address
US Naval Hospital
PSC 475 Box 1723
Fpo, AP 96350
Phone
81468167816
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 47855 MD Primary

Addresses

Primary practice location

US Naval Hospital
PSC 475 Box 1723
Fpo, AP 96350

Mailing address

US Naval Hospital
PSC 475 Box 1723
Fpo, AP 96350
Phone 81468167816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220119001391 WA Practitioner - Internal Medicine 5395927073 Reassigns benefits to 2 organizations
I20240425003044 VA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5395927073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony at Home Provider Services LLCGroup PAC ID 4587030804, 25 clinicians
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

1504 Santa Rosa Rd
RM 116
Henrico, VA 23229-5109
Phone (804) 210-3103

1945 Roanoke Blvd
Salem, VA 24153-6408
Phone (540) 345-3894

Hospital & facility affiliations

  • Welcome Homecare Home health agency, Richmond, VA, CCN 497455
  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Commonwealth Home Care Home health agency, Richmond, VA, CCN 497703
  • James River Home Health Agency Home health agency, Richmond, VA, CCN 497706
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Westmoreland Rehabilitation & Healthcare Center Nursing home, Colonial Beach, VA, CCN 495268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47855MDMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WFS Home Care Enterprises, Inc. Dba at Home Harmony Pharmacy LTC CurrentSince Dec 15, 2025 Accepting new patients
Universal Health Corporation CurrentSince Mar 19, 2024 Accepting new patients
Harmony at Home Provider Services LLC Geriatric Medicine CurrentSince Dec 15, 2025 Accepting new patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Jan 1, 2022 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Jan 1, 2022 Accepting new patients

Locations

1504 Santa Rosa Rd
Rm 116
Henrico, VA 23229
Phone (804) 210-3103

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

723 Memorial St
Prosser, WA 99350
Phone (509) 786-2222

336 Chardonnay Ave
#A
Prosser, WA 99350
Phone (509) 786-1576

Interoperability endpoints

  • Direct secure messaging: john.gilstad.1@26346.direct.athenahealth.com
  • Direct secure messaging: jgilstad2028472@wm.providencedirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Westmoreland Rehabilitation and Healthcare CenterColonial BCH, VA, CCN 495268 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 4, 2018
Jan 4, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1669473856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "US NAVAL HOSPITAL",
            "address_2": "PSC 475 BOX 1723",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96350",
            "telephone_number": "81468167816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "US NAVAL HOSPITAL",
            "address_2": "PSC 475 BOX 1723",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96350",
            "telephone_number": "81468167816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSTAD",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "47855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.