DR. SUSAN ELIZABETH GILLIS MD - NPI 1215315858 - Pediatrics in Laguna Niguel, CA

Q: What is Susan Gillis's NPI number?

The NPI number for Susan Gillis is 1215315858. It was assigned to this individual provider in the NPPES registry on May 15, 2015.

Q: What is Susan Gillis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Gillis was last updated on August 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Susan Elizabeth Gillis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN ELIZABETH GILLIS MD (NPI 1215315858) is an individual pediatrics provider in Laguna Niguel, California, licensed in California (A172110) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215315858

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SUSAN ELIZABETH GILLISCredential: MD

Location Address25500 RANCHO NIGUEL RD STE 110Laguna Niguel, CA 92677-7373

Mailing Address3200 Paseo Village Way Apt 1321San Diego, CA 92130-3232 · (260) 241-5700

Phone(949) 448-8821

Sole ProprietorYes

Enumeration DateMay 15, 2015

Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration

NPPES CertifiedAugust 26, 2024

✔ NPI 1215315858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A172110

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

25500 RANCHO NIGUEL RD STE 110, Laguna Niguel, CA 92677

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Secondary Practice Locations 3

Location 1408 Canal View Way, Apt DINDIANAPOLIS, IN 46202 · Phone (260) 241-5700

Location 2601 Childrens LnNorfolk, VA 23507-1910 · Phone (757) 668-7000

Location 36942 University Ave Ste ALA Mesa, CA 91942-5963 · Phone (619) 698-2184

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Elizabeth Gillis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92677 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMANDA SALTER MD

Pediatrics