AMY GILLIAM MD
NPI 1073571139
Dermatology - Pediatric Dermatology in Palo Alto, CA
About Amy Gilliam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY GILLIAM MD (NPI 1073571139) is an individual pediatric dermatology provider in Palo Alto, California, licensed in California (A70772) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy Gilliam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Gilliam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PALO ALTO, CA 94301
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amy Gilliam's NPI number?
The NPI number for Amy Gilliam is 1073571139. It was assigned to this individual provider in the NPPES registry on May 1, 2006.
Where is Amy Gilliam located?
Amy Gilliam practices at 795 El Camino Real, Palo Alto, CA 94301. The listed phone number is (650) 853-2982.
What is Amy Gilliam's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.
Is Amy Gilliam enrolled in Medicare?
Yes. Amy Gilliam is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Gilliam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Gilliam reassigns Medicare benefits to Sutter Bay Medical Foundation (Palo Alto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Gilliam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Gilliam was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Amy Gilliam, MD · NPI 1073571139
Pediatric Dermatology physician in Palo Alto, California. Individual provider, active in the CMS NPPES registry since May 1, 2006.
## Identity
- **NPI:** 1073571139 (Entity type: Individual)
- **Enumerated:** May 1, 2006
- **Primary specialty:** Dermatology - Pediatric Dermatology · taxonomy 207NP0225X
- **State license:** A70772 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 795 EL CAMINO REAL, Palo Alto, CA 94301-2302
- **Phone:** (650) 853-2982
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1073571139) · Data from the CMS NPPES public registry.