Kevin Joseph Gill (NPI# 1760436661, PAC ID# 3072534676) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1760436661 |
| PAC ID by PECOS | 3072534676 |
| Professional Enrollment ID | I20051212000083 |
| Full Name | Kevin Joseph Gill |
| Organization Legal Name | BLUEPRINT HEALTHCARE LLC |
| Address |
25 Ridgewood Rd Bedford NH 03110-6510 |
| Phone Number | 6033703244 |
| Gender | M |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1153665062 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 300012 | ELLIOT HOSPITAL |
| 300011 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 25 Ridgewood Rd, Bedford, NH 03110-6510 | 6033703244 | BLUEPRINT HEALTHCARE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 100% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 100% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 100% |
| Organization Legal Name | BLUEPRINT HEALTHCARE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anuradha P Shah | Internal Medicine | Blueprint Healthcare LLC | 25 Ridgewood Rd, Bedford, NH 03110-6510 |
| Street Address |
25 RIDGEWOOD RD |
| City | BEDFORD |
| State | NH |
| Zip | 03110-6510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Ryder | Otolaryngology | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Timothy J Mello | Physician Assistant | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Ann S Bartlett | Anesthesiology | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Anuradha P Shah | Internal Medicine | Blueprint Healthcare LLC | 25 Ridgewood Rd, Bedford, NH 03110-6510 |
| Xiangtian Hu | Anesthesiology | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Joella Mccarragher | Nurse Practitioner | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Deborah J Puckhaber | Internal Medicine | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Emily R Levan | Nurse Practitioner | Bluewater Emergency Partners of Brunswick LLC | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Kane D Gronback | Nurse Practitioner | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Carl J Gutierrez | Anesthesiology | Springfield Hospital Inc. | 25 Ridgewood Rd, Springfield, VT 05156-3050 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna G Petrella | Chiropractic | 124 Bedford Ctr Road A, Bedford Center Chiro, Bedford, NH 03110 | |
| Mark D Myers | Pediatric Medicine | Elliot Physicians Network | 25 Leavey Dr, Bedford, NH 03110-4437 |
| Douglas M Phelan | Family Medicine | Elliot Physicians Network | 25 Leavey Dr, Bedford, NH 03110-4437 |
| Keith P Lavalliere | Chiropractic | 360 Route 101, Unit 7, Bedford, NH 03110-5030 | |
| Elizabeth Frescoln | Clinical Social Worker | The Center for Eating Disorders Management Inc | 360 Route 101 10, Bedford, NH 03110-5031 |
| Robert Sloane Franklin | Clinical Social Worker | The Center for Eating Disorders Management Inc | 360 Route 101 10, Bedford, NH 03110-5031 |
| Kelly Lynne Watton | Nurse Practitioner | The Center for Eating Disorders Management Inc | 360 Route 101 10, Bedford, NH 03110-5031 |
| Sarah M Blood | Nurse Practitioner | The Center for Eating Disorders Management Inc | 360 Route 101 10, Bedford, NH 03110-5031 |
| Laura J Clauss | Nurse Practitioner | The Center for Eating Disorders Management Inc | 360 Route 101 10, Bedford, NH 03110-5031 |
| Desiree Shelby Frasier | Chiropractic | 360 Route 101 13b, Bedford, NH 03110-5033 | |
| Find all physicians in zip 03110 | |||
| City | BEDFORD |
| Zip Code | 03110 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BEDFORD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kevin Joseph Gill.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.