Active NPI
Karla Sylvia Gil, MD
- Pediatric Adolescent Medicine Physician
- Hollywood, FL
National Provider Identifier
1952542987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 69495
- Practice address
- 4651 Sheridan St
Suite 270
Hollywood, FL 33021-3457 - Phone
- (954) 989-6000
- NPI assigned
- Mar 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 69495 | CT | Primary |
| Pediatrics Physician | 208000000X | ME113835 | FL |
Addresses
Primary practice location
4651 Sheridan St
Suite 270
Hollywood, FL 33021-3457
Mailing address
21 Grand St
Hartford, CT 06106-1541
Phone (954) 989-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006739500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charter Oak Health Center, Inc. | Current | Accepting new patients | |
| Charter Oak Health Center, Inc. | Current | Accepting new patients |
Locations
21 Grand St
Hartford, CT 06106
Interoperability endpoints
- karla.gil@cohc.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1992750855
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1841937679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1952542987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 GRAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061061541",
"telephone_number": "954-989-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 SHERIDAN ST",
"address_2": "SUITE 270",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213457",
"telephone_number": "954-989-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIL",
"first_name": "KARLA",
"middle_name": "SYLVIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-22",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CT",
"license": "69495",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME113835",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006739500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.