Individual provider Active NPI

Wonho Gil, MD

  • Family Medicine Physician
  • Southfield, MI
National Provider Identifier
1851897847
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301503628 Issued in MI
Practice address
29877 Telegraph Rd Ste 107
Southfield, MI 48034-7658
Phone
(248) 905-3981
Fax
(248) 595-7999
NPI assigned
Mar 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 4301503628 MI Primary

Addresses

Primary practice location

29877 Telegraph Rd Ste 107
Southfield, MI 48034-7658

Mailing address

1713 Chatham Dr
Troy, MI 48084-1482
Phone (915) 267-9186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20211214000503 MI Practitioner - Family Practice 6002240496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29877 Telegraph Rd
Suite 107
Southfield, MI 48034-7658
Phone (248) 905-3981

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301503628MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Won Medical Group PC Family Medicine CurrentSince Dec 1, 2021 Accepting new patients

Locations

29877 Telegraph Rd
Ste 107
Southfield, MI 48034
Phone (248) 355-9911

Interoperability endpoints

  • Direct secure messaging: wgil517222@direct.hfhs.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1851897847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 CHATHAM DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841482",
            "telephone_number": "915-267-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD STE 107",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347658",
            "telephone_number": "248-905-3981",
            "fax_number": "248-595-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL",
        "first_name": "WONHO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301503628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.