Individual provider Active NPI

Nadia Gill, MD

  • Psychiatry Physician
  • Newark, OH
National Provider Identifier
1770628893
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18559 Issued in MN
Practice address
200 Messimer Dr
Newark, OH 43055-3627
Phone
(220) 564-4877
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35098302 OH
Psychiatry Physician 2084P0800X 18559 MN Primary

Addresses

Primary practice location

200 Messimer Dr
Newark, OH 43055-3627

Mailing address

PO Box 350
Granville, OH 43023-0350
Phone (614) 458-9000

Other practice location 1

1087 Dennison Ave
Columbus, OH 43201-3201
Phone (614) 458-9000

Other practice location 2

200 Messimer Dr
Newark, OH 43055-3627
Phone (220) 564-4871

Other identifiers 1

IdentifierTypeStateIssuer
0065904MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ngill14516@lickingmemorial.medicity.net Other LICKING MEMORIAL PROFESSIONAL CORPORATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120622000629 OH Practitioner - Psychiatry 3779748835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Messimer Dr
Newark, OH 43055-3627
Phone (220) 564-4873

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18559MNMDPsychiatry Physician
35098302OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Health Professionals CurrentSince May 24, 2019 Accepting new patients
Licking Memorial Professional Corporation CurrentSince May 24, 2019 Accepting new patients
Licking Memorial Hospital Past Accepting new patients

Locations

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

200 Messimer Dr
Newark, OH 43055
Phone (740) 348-4870

1 Healthy Pl
#205
Pataskala, OH 43062
Phone (740) 348-1930

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 and National Provider Directory roles.

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.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1770628893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430230350",
            "telephone_number": "614-458-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MESSIMER DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553627",
            "telephone_number": "220-564-4877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1087 Dennison Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432013201",
            "country_code": "US",
            "telephone_number": "614-458-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Messimer Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430553627",
            "country_code": "US",
            "telephone_number": "220-564-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "NADIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35098302",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "18559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065904",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngill14516@lickingmemorial.medicity.net",
            "affiliation": "Y",
            "endpointDescription": "DIRECT EMAIL ADDRESS",
            "affiliationName": "LICKING MEMORIAL PROFESSIONAL CORPORATION",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "OTHER",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "200 Messimer Dr",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430553627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.