Individual provider Active NPI

Simrun K Gill, MD

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1740468800
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD433454 Issued in PA
Practice address
1307 Federal St
Suite B300
Pittsburgh, PA 15212-4769
Phone
(412) 359-3751
Fax
(412) 359-8439
NPI assigned
Jan 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD433454 PA Primary

Addresses

Primary practice location

1307 Federal St
Suite B300
Pittsburgh, PA 15212-4769

Mailing address

1307 Federal St
Suite B300
Pittsburgh, PA 15212-4769
Phone (412) 359-3751

Other identifiers 3

IdentifierTypeStateIssuer
P00629773OtherPAMEDICARE RAILROAD
1020845210001MedicaidPA
3810011245MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130328000473 IL Practitioner - Internal Medicine 2769566942 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD433454PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thinfast MD LLC CurrentSince Jan 5, 2019 Accepting new patients
Ehtesham J Ghani MD SC CurrentSince Jan 13, 2026 Accepting new patients
Affiliated Clinical Psychologists Limited PastSince Sep 1, 2007 Accepting new patients
Center for Integrative and Functional Health and Wellness LLC Family Medicine PastSince Nov 10, 2022 Accepting new patients

Locations

135 E Algonquin Rd
Ste A2
Arlington Hts, IL 60005
Phone 22477780458045

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

9223 Ogden Ave
Brookfield, IL 60513
Phone (708) 485-4050

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1740468800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "SUITE B300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "412-359-3751",
            "fax_number": "412-359-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "SUITE B300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "412-359-3751",
            "fax_number": "412-359-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "SIMRUN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD433454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00629773",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020845210001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011245",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.