Individual provider Active NPI

Vikramjit Singh Gill, MD

  • Emergency Medicine Physician
  • Everett, WA
National Provider Identifier
1720281785
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD61404786 Issued in WA
Practice address
3927 Rucker Ave BLDG Wic
Everett, WA 98201-4833
Phone
(425) 339-5441
Fax
(425) 259-1155
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 3980 WI
Emergency Medicine Physician 207P00000X 01092842A IN
Emergency Medicine Physician 207P00000X 35.099340 OH
Emergency Medicine Physician 207P00000X MD61404786 WA Primary
Pediatrics Physician 208000000X 35.099340 OH
Pediatrics Physician 208000000X 01092842A IN

Addresses

Primary practice location

3927 Rucker Ave BLDG Wic
Everett, WA 98201-4833

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 258-3900

Other practice location 1

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-7966

Other practice location 2

600 W Main St
Troy, OH 45373-3384
Phone (937) 980-7010

Other practice location 3

6147 State Route 122
Middletown, OH 45005-5201
Phone (513) 261-3410

Other practice location 4

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9515

Other practice location 5

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 384-8791

Other practice location 6

3003 University Dr
Marinette, WI 54143-4110
Phone (715) 735-4200

Other practice location 7

100 Kettering Way
Franklin, OH 45005-1155
Phone (937) 458-4700

Other practice location 8

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8166

Other practice location 9

3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (937) 702-4500

Other practice location 10

1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 352-2500

Other practice location 11

1 Kettering Way
Piqua, OH 45356-4109
Phone (937) 916-2625

Other identifiers 2

IdentifierTypeStateIssuer
201159180MedicaidIN
100270020MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vgill@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IN2 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
I20230718004000 WA Practitioner - Emergency Medicine 1355507351 Reassigns benefits to 4 organizations
I20240401001923 IN Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 1355507351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Pediatric Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Spokane Emergency Care Physicians PLLCGroup PAC ID 0143554600, 68 clinicians

Practice addresses (Care Compare)

1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone (317) 962-2000

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9250

4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 526-2000

800 W 5TH Ave
Spokane, WA 99204-2803
Phone (509) 473-7101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61404786WAMDEmergency Medicine Physician
35.099340OHMDPediatrics Physician
3980WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Emergency Physicians, PLLC Emergency Medicine CurrentSince Jul 15, 2023 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince May 1, 2024 Accepting new patients
Optum Care Washington PLLC Pediatrics CurrentSince Jul 29, 2024 Accepting new patients
Optum Care Washington PLLC CurrentSince Jul 29, 2024 Accepting new patients
The Association of Chrmc and University Physicians Pediatrics CurrentSince Jul 19, 2023 Accepting new patients
Eastside Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 15, 2023 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Optum Care Washington PLLC Pediatrics Current Accepting new patients
Spokane Emergency Care Physicians PLLC Emergency Medicine CurrentSince Apr 10, 2024 Accepting new patients
Association of CHMC and University Physicians Pediatrics CurrentSince Jul 19, 2023 Accepting new patients
Ohio Valley Physicians Inc Past Accepting new patients
Emergency Medicine Physicians of Hamilton County, LTD. Emergency Medicine Past Accepting new patients

Locations

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

3927 Rucker Ave
Bldg Wic
Everett, WA 98201
Phone (425) 339-5441

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

18100 NE Union Hill Rd
Ste 200
Redmond, WA 98052
Phone (206) 320-5190

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Interoperability endpoints

  • Direct secure messaging: vgill@direct.iuhealth.org
  • Direct secure messaging: vgill84229@direct.tecmc.com
  • Direct secure messaging: vgill340122@direct.seattlechildrens.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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.

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1720281785",
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            "address_1": "PO BOX 5127",
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            "fax_number": "513-636-7967"
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            "telephone_number": "425-339-5441",
            "fax_number": "425-259-1155"
        }
    ],
    "practiceLocations": [
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            "telephone_number": "513-636-7966",
            "fax_number": "513-636-7967",
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        {
            "address_1": "600 W Main St",
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        },
        {
            "address_1": "6147 State Route 122",
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            "telephone_number": "513-261-3410",
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            "address_type": "DOM"
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            "telephone_number": "812-353-9515",
            "fax_number": "812-353-9275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Miamisburg Centerville Rd",
            "address_purpose": "LOCATION",
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            "postal_code": "453427615",
            "country_code": "US",
            "telephone_number": "937-384-8791",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "3003 University Dr",
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            "city": "Marinette",
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            "postal_code": "541434110",
            "country_code": "US",
            "telephone_number": "715-735-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Kettering Way",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "OH",
            "postal_code": "450051155",
            "country_code": "US",
            "telephone_number": "937-458-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Pentagon Blvd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454311705",
            "country_code": "US",
            "telephone_number": "937-702-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1141 N Monroe Dr",
            "address_purpose": "LOCATION",
            "city": "Xenia",
            "state": "OH",
            "postal_code": "453851619",
            "country_code": "US",
            "telephone_number": "937-352-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Kettering Way",
            "address_purpose": "LOCATION",
            "city": "Piqua",
            "state": "OH",
            "postal_code": "453564109",
            "country_code": "US",
            "telephone_number": "937-916-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "VIKRAMJIT",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "3980",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01092842A",
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        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
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            "license": "35.099340",
            "primary": false
        },
        {
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            "taxonomy_group": "",
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            "license": "MD61404786",
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        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.099340",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01092842A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201159180",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270020",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vgill@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2651 E Discovery Pkwy",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.