NPIMap

Individual provider Active NPI

Baljinder Singh Gill, MD

  • Internal Medicine Physician
  • Roseville, CA
National Provider Identifier
1790774784
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A76448 Issued in CA
Practice address
151 N Sunrise Ave
#613
Roseville, CA 95661
Phone
(916) 789-8620
Fax
(916) 789-8619
NPI assigned
Oct 21, 2005
Last updated
Apr 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A76448 CA Primary

Addresses

Primary practice location

151 N Sunrise Ave
#613
Roseville, CA 95661

Mailing address

151 N Sunrise Ave
Suite 613
Roseville, CA 95661
Phone (916) 789-8620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001397 CA Practitioner - Internal Medicine 6608847876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gill and Bisla Internal Med Associates IncGroup PAC ID 1052456423, 2 clinicians

Practice addresses (Care Compare)

151 N Sunrise Ave
Suite 613
Roseville, CA 95661-2926
Phone (916) 789-8620

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A76448CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gill & Bisla Internal Med Associates Inc Internal Medicine CurrentSince Aug 18, 2003 Accepting new patients

Locations

151 N Sunrise Ave
Ste 613
Roseville, CA 95661
Phone (916) 789-1505

Interoperability endpoints

  • Direct secure messaging: bgill13340@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIECBA

Organizations & group practices 1

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

Hospital & facility affiliations 9

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1790774784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "address_2": "SUITE 613",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-789-8620",
            "fax_number": "916-789-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "address_2": "#613",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-789-8620",
            "fax_number": "916-789-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "BALJINDER",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.