Organization Active NPI

Kevin M Gil, MD LLC

  • Primary Care Clinic/Center
  • Rockville, MD
National Provider Identifier
1891015863
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D0035192 Issued in MD
Legal business name
KEVIN M GIL, MD LLC
Practice address
14816 Physicians LN
Suite 253
Rockville, MD 20850-3944
Phone
(301) 610-6313
Fax
(301) 610-6318
NPI assigned
Jun 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Dr. Kevin Michael Gil, M.D.NPI 1669479309
Title
President
Phone
(301) 610-6313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D0035192 MD Primary

Addresses

Primary practice location

14816 Physicians LN
Suite 253
Rockville, MD 20850-3944

Mailing address

361 Winter Walk Dr
Gaithersburg, MD 20878-7806
Phone (301) 610-6313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100607000234 DC Part B Supplier - Clinic/Group Practice 0143350835 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

15200 Shady Grove Rd
Ste 207
Rockville, MD 20850
Phone (301) 610-0500

14816 Physicians Ln
Ste 253
Rockville, MD 20850
Phone (301) 610-6313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1891015863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 WINTER WALK DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208787806",
            "telephone_number": "301-610-6313",
            "fax_number": "301-610-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14816 PHYSICIANS LN",
            "address_2": "SUITE 253",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503944",
            "telephone_number": "301-610-6313",
            "fax_number": "301-610-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN M GIL, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "GIL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-610-6313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0035192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.