Active NPI
Kanwar Iqbal Singh Gill, MD
- Interventional Cardiology Physician
- Smithtown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 262723
- Practice address
- 300 E Main St Ste 6
Smithtown, NY 11787-2900 - Phone
- (631) 994-1200
- Fax
- (631) 994-1212
- NPI assigned
- May 28, 2008
- Last updated
- Mar 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 262723 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 262723 | NY | |
| Interventional Cardiology Physician | 207RI0011X | 262723 | NY | Primary |
| Interventional Cardiology Physician | 207RI0011X | 0101263665 | VA |
Addresses
Primary practice location
300 E Main St Ste 6
Smithtown, NY 11787-2900
Mailing address
169 Commack Rd Ste 246
Commack, NY 11725-3442
Other practice location 1
169 Commack Rd Ste 246
Commack, NY 11725-3442
Phone (631) 352-0851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1045 W Jericho Tpke
Smithtown, NY 11787-3205
Phone (631) 543-8844
600 Roe Ave
Elmira, NY 14905-1629
Phone 60773741004118
602 Ivy St
FL 1
Elmira, NY 14905-1646
Phone (607) 737-4577
7571 State Route 54
Bath, NY 14810-9504
Phone (607) 776-8500
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 45 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262723 | NY | MD | Internal Medicine Physician |
| 0101263665 | VA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Marc Allen Medical PC | Internal Medicine | Current | Accepting new patients |
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Ira Davenport Memorial Hospital, Inc. | Current | Accepting new patients | |
| Ira Davenport Memorial Hospital, Inc. | Current | Accepting new patients | |
| Arnot Medical Services PLLC | Internal Medicine | Current | Accepting new patients |
| New York City Healthcare Medical Services LLC | Current | Accepting new patients | |
| New York Professional Medical Services LLC | Current | Accepting new patients | |
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Ira Davenport Memorial Hospital, Inc. | Current | Accepting new patients | |
| Vascular Anesthesia Associates PLLC | Interventional Cardiology | Past | Accepting new patients |
| St Francis Hospital United States Catholic Conference | Past | Accepting new patients |
Locations
7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500
2157 White Plains Rd
Ste B
Bronx, NY 10462
2444 86th St
Brooklyn, NY 11214
Phone (718) 709-5329
2444 86th St
#102A
Brooklyn, NY 11214
Phone (347) 230-8174
2511 Ocean Ave
Ste 102
Brooklyn, NY 11229
Phone (718) 504-6044
924 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 709-5327
571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050
600 Fitch St
Ste 202
Elmira, NY 14905
Phone (607) 271-3780
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161
602 Ivy St
Fl 1
Elmira, NY 14905
Phone (607) 737-4577
11602 Queens Blvd
Forest Hills, NY 11375
Phone (646) 292-3240
11602 Queens Blvd
Ste A
Forest Hills, NY 11375
16203 Jamaica Ave
Ste 200
Jamaica, NY 11432
Phone (347) 429-7699
16203 Jamaica Ave
Unit 200A
Jamaica, NY 11432
Phone (347) 390-1075
1153 1st Ave
New York, NY 10065
Phone (646) 386-2250
1264 Saint Nicholas Ave
Ste B
New York, NY 10033
Phone (718) 280-4188
5920 Myrtle Ave
Ridgewood, NY 11385
Phone (718) 504-6364
1045 W Jericho Tpke
Smithtown, NY 11787
Phone (631) 543-8844
1975 Hylan Blvd
Staten Island, NY 10306
Phone (718) 447-4900
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- kanwar.gill@arn.eclinicaldirectplus.com
- kgill21622@direct.xtensys.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Skilled Nursing Facility
- Bath, NY
- NPI 1922192939
-
- Vascular Surgery Physician
- Brooklyn, NY
- NPI 1639518848
-
- Cardiovascular Disease Physician
- East Patchogue, NY
- NPI 1902183627
-
- Cardiovascular Disease Physician
- Smithtown, NY
- NPI 1457875841
-
- Community/Retail Pharmacy
- Elmira, NY
- NPI 1831875004
-
- Medicare Defined Swing Bed Hospital Unit
- Bath, NY
- NPI 1215021225
-
- Rural Acute Care Hospital
- Bath, NY
- NPI 1306930318
-
- Vascular Surgery Physician
- Brooklyn, NY
- NPI 1487489688
-
dba St Francis Ekg
- General Acute Care Hospital
- Roslyn, NY
- NPI 1750439030
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Rural Acute Care Hospital
- Bath, NY
- NPI 1306930318
-
- General Acute Care Hospital
- Sayre, PA
- NPI 1083614382
-
dba Robert Packer Hospital, Towanda Campus
- General Acute Care Hospital
- Towanda, PA
- NPI 1134734528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1790943694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 COMMACK RD STE 246",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E MAIN ST STE 6",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872900",
"telephone_number": "631-994-1200",
"fax_number": "631-994-1212"
}
],
"practiceLocations": [
{
"address_1": "169 Commack Rd Ste 246",
"address_purpose": "LOCATION",
"city": "Commack",
"state": "NY",
"postal_code": "117253442",
"country_code": "US",
"telephone_number": "631-352-0851",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILL",
"first_name": "KANWAR IQBAL",
"middle_name": "SINGH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "262723",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "262723",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NY",
"license": "262723",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "VA",
"license": "0101263665",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.