Individual provider Active NPI

Cassandra Lynn Gil, PA

  • Physician Assistant
  • Novi, MI
National Provider Identifier
1962878249
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007451 Issued in MI
Practice address
26850 Providence Pkwy Ste 260
Novi, MI 48374-1256
Phone
(248) 465-5140
Fax
(248) 465-5141
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007451 MI Primary

Addresses

Primary practice location

26850 Providence Pkwy Ste 260
Novi, MI 48374-1256

Mailing address

26850 Providence Pkwy Ste 260
Novi, MI 48374-1256
Phone (248) 465-5140

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151006001038 MI Practitioner - Physician Assistant 6204144538 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Providence HospitalGroup PAC ID 6103738703, 364 clinicians

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000

16001 W 9 Mile Rd 3Rd FL
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

16001 W 9 Mile Rd 3Rd Floor
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

26850 Providence Pkwy
Novi, MI 48374-1213
Phone (248) 347-2435

26850 Providence Pkwy
Suite 260
Novi, MI 48374-1256
Phone (248) 465-5140

47601 Grand River Ave
Novi, MI 48374-1233

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601007451MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital Physician Assistant CurrentSince Oct 1, 2020 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Dec 9, 2023 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Oct 1, 2020 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Dec 9, 2023 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Grace OB GYN PC Past Accepting new patients

Locations

1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629

1225 S Latson Rd
Ste 380
Howell, MI 48843
Phone (248) 465-5140

1225 S Latson Rd
Ste 130
Howell, MI 48843
Phone (517) 338-2360

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

26850 Providence Pkwy
Ste 260
Novi, MI 48374
Phone (248) 465-5140

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

11900 E 12 Mile Rd
Ste 300
Warren, MI 48093
Phone (586) 751-1515

Interoperability endpoints

  • Direct secure messaging: cgil1129999@direct.hfhs.org

Organizations & group practices 8

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 1

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1962878249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 260",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741256",
            "telephone_number": "248-465-5140",
            "fax_number": "248-465-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 260",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741256",
            "telephone_number": "248-465-5140",
            "fax_number": "248-465-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL",
        "first_name": "CASSANDRA",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.