Individual provider Active NPI

Maryum Gill, MD

  • Family Medicine Physician
  • Blue Bell, PA
National Provider Identifier
1821666918
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD485309 Issued in PA
Practice address
721 Skippack Pike Ste 1
Blue Bell, PA 19422-1700
Phone
(484) 622-6700
Fax
(484) 622-6720
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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 MD485309 PA Primary

Addresses

Primary practice location

721 Skippack Pike Ste 1
Blue Bell, PA 19422-1700

Mailing address

721 Skippack Pike Ste 3
Blue Bell, PA 19422-1700
Phone (484) 622-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240815002132 PA Practitioner - Family Practice 0547708075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians

Practice addresses (Care Compare)

721 Skippack Pike
Suite 3
Blue Bell, PA 19422-1700
Phone (484) 622-6700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Fornance Physician Services, Inc Current Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Jan 1, 2026 Accepting new patients
Fornance Physician Services, Inc Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Fornance Physician Services, Inc. Family Medicine Past Accepting new patients

Locations

721 Skippack Pike
Ste 3
Blue Bell, PA 19422
Phone (215) 793-0600

1330 Powell St
Ste 308
Norristown, PA 19401
Phone (484) 622-7371

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

Organizations & group practices 6

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 2

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1821666918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 SKIPPACK PIKE STE 3",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221700",
            "telephone_number": "484-622-6700",
            "fax_number": "484-622-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 SKIPPACK PIKE STE 1",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221700",
            "telephone_number": "484-622-6700",
            "fax_number": "484-622-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "MARYUM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD485309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.