Individual provider Active NPI

Craig Allen Gill, MD

  • Emergency Medicine Physician
  • Waco, TX
National Provider Identifier
1982716957
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K8171 Issued in TX
Practice address
6901 Medical Parkway
Waco, TX 76712
Phone
(254) 751-4146
Fax
(254) 751-4283
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X TXBK8171 TX
Emergency Medicine Physician 207P00000X K8171 TX Primary

Addresses

Primary practice location

6901 Medical Parkway
Waco, TX 76712

Mailing address

PO Box 2589
Waco, TX 76702-2589
Phone (254) 751-4146

Other practice location 1

11233 Shadow Creek Pkwy Ste 313
Pearland, TX 77584-7367
Phone (346) 345-5100

Other identifiers 3

IdentifierTypeStateIssuer
096770503MedicaidTX
930112327OtherTXRR MCR
8F7080OtherTXBC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070227000108 TX Practitioner - Emergency Medicine 6002918760 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Brazos Emergency Medicine Associates PAGroup PAC ID 3274005103, 12 clinicians
Lake Granbury Hospital-Based Professional ServicesGroup PAC ID 3971940966, 69 clinicians
Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians

Practice addresses (Care Compare)

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-2273

9205 Legacy Dr
Frisco, TX 75033-6750
Phone (972) 625-6020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TXBK8171TXMDEmergency Medicine Physician
024166LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Urgent Care, PA CurrentSince Nov 1, 2023 Accepting new patients
Lake Travis Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
TK Emergency Physicians Group PLLC Emergency Medicine CurrentSince Mar 14, 2022 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Lake Granbury Hospital-Based Professional Services Emergency Medicine CurrentSince Nov 19, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince May 9, 2023 Accepting new patients
Providence Health Services of Waco Current Accepting new patients
Frisco Emergency Medicine Associates, PA Emergency Medicine Past Accepting new patients
Bryan Emergency Physicians PA Emergency Medicine Past Accepting new patients
Texas Midwest Emergency Physicians PA Past Accepting new patients
Hendrick Medical Center Past Accepting new patients

Locations

1310 W Exchange Pkwy
Allen, TX 75013
Phone (972) 678-4545

1310 W Exchange Pkwy
Ste 100
Allen, TX 75013
Phone (972) 678-4545

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

14120 FM 2100 Rd
Crosby, TX 77532
Phone (281) 328-7770

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

16151 Eldorado Pkwy
#100
Frisco, TX 75035
Phone (972) 731-5151

5309 E US Highway 377
Granbury, TX 76049
Phone (682) 498-6890

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

11233 Shadow Creek Pkwy
Ste 313
Pearland, TX 77584
Phone (346) 352-5100

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

22678 Highway 59
Porter, TX 77365
Phone (281) 354-4654

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

1509 N Interstate 35
Ste 200
San Marcos, TX 78666
Phone (512) 648-6188

7010 W Adams Ave
Ste 200
Temple, TX 76502
Phone (254) 228-1200

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

221 S Jack Kultgen Expy
Ste 200
Waco, TX 76706
Phone (254) 537-9452

Organizations & group practices 12

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 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1982716957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2589",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767022589",
            "telephone_number": "254-751-4146",
            "fax_number": "254-751-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MEDICAL PARKWAY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-751-4146",
            "fax_number": "254-751-4283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11233 Shadow Creek Pkwy Ste 313",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775847367",
            "country_code": "US",
            "telephone_number": "346-345-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "CRAIG",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "TXBK8171",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K8171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096770503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "930112327",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "8F7080",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.