Active NPI
Paul Wesley Gill, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Severna Park, MD
National Provider Identifier
1891864005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1032
- Practice address
- 580 Ritchie Hwy Ste K
Severna Park, MD 21146-3926 - Phone
- (410) 544-8433
- Fax
- (410) 544-9026
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1032 | MD | Primary |
Addresses
Primary practice location
580 Ritchie Hwy Ste K
Severna Park, MD 21146-3926
Mailing address
580 Ritchie Hwy Ste K
Severna Park, MD 21146-3926
Phone (410) 544-8433
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4362987 | Other | MD | AETNA USHC |
| 480030924 | Other | MD | MEDICARE RAILROAD |
| A824 0001 | Other | FL | DC BLUE CROSS FEP |
| UNITED HEALTH CARE | Other | MD | 339009 |
| 40147604 | Other | MD | CAREFIRST MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1032 | MD | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul W Gill DPM PC | Current | Accepting new patients |
Locations
580 Ritchie Hwy
Ste K
Severna Park, MD 21146
Phone (410) 544-8433
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Severna Park, MD
- NPI 1912450933
-
- Non-Pharmacy Dispensing Site
- Severna Park, MD
- NPI 1215464003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1891864005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 RITCHIE HWY STE K",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463926",
"telephone_number": "410-544-8433",
"fax_number": "410-544-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 RITCHIE HWY STE K",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463926",
"telephone_number": "410-544-8433",
"fax_number": "410-544-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "PAUL",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MD",
"license": "1032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC",
"identifier": "4362987",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "480030924",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC BLUE CROSS FEP",
"identifier": "A824 0001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "339009",
"identifier": "UNITED HEALTH CARE",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD",
"identifier": "40147604",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.