Active NPI
Ryan Jeffrey Gillies, MD
- Student in an Organized Health Care Education/Training Program
- Norfolk, VA
National Provider Identifier
1992591051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 0116041044
- Practice address
- Sentara Norfolk General Hospital
600 Gresham Dr, Suite 8620
Norfolk, VA 23507 - Phone
- (757) 388-6402
- NPI assigned
- Apr 16, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116041044 | VA | Primary |
Addresses
Primary practice location
Sentara Norfolk General Hospital
600 Gresham Dr, Suite 8620
Norfolk, VA 23507
Mailing address
Sentara Norfolk General Hospital
600 Gresham Dr, Suite 8620
Norfolk, VA 23507
Phone (757) 388-6402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250925003384 | VA | Order and Referring Only - Vascular Surgery | 8022513472 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116041044 | VA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1992591051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SENTARA NORFOLK GENERAL HOSPITAL",
"address_2": "600 GRESHAM DR, SUITE 8620",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23507",
"telephone_number": "757-388-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SENTARA NORFOLK GENERAL HOSPITAL",
"address_2": "600 GRESHAM DR, SUITE 8620",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23507",
"telephone_number": "757-388-6402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIES",
"first_name": "RYAN",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-16",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116041044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.