Active NPI
Simrun K Gill, MD
- Family Medicine Physician
- Pittsburgh, PA
National Provider Identifier
1740468800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD433454
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00629773 | Other | PA | MEDICARE RAILROAD |
| 1020845210001 | Medicaid | PA | |
| 3810011245 | Medicaid | WV |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD433454 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thinfast MD LLC | Current | Accepting new patients | |
| Ehtesham J Ghani MD SC | Current | Accepting new patients | |
| Affiliated Clinical Psychologists Limited | Past | Accepting new patients | |
| Center for Integrative and Functional Health and Wellness LLC | Family Medicine | Past | 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.
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-
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Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.