RAJI M GILL DO PC
NPI 1679770176
Urology in Tahlequah, OK

Active since June 28, 2007CLIA 37D0980488 · Waiver
1500 E DOWNING ST STE 100, TAHLEQUAH, OK 74464(918) 458-5700(918) 458-5790 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2025, Mar 26, 2025 (2 updates tracked since 2025).

About Raji M Gill Do Pc NPPES

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

RAJI M GILL DO PC (NPI 1679770176) is a healthcare organization registered as an urology in Tahlequah, Oklahoma and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through April 29, 2028, maintains a secondary practice location in Tahlequah, and lists Raji M Gill, President, as its authorized official.

NPPES Registry Identity

NPI1679770176
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameRAJI M GILL DO PC
Location Address1500 E DOWNING ST STE 100Tahlequah, OK 74464-3354
Mailing Address1500 East Downing, Suite 100Tahlequah, OK 74404 · (918) 458-5700 · Fax (918) 458-5790
Fax(918) 458-5790
Organization SubpartNo
Authorized OfficialRaji M GillPresident · (918) 458-5700
Enumeration DateJune 28, 2007
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
NPI 1679770176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in OK · 3753
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1500 E DOWNING ST STE 100, Tahlequah, OK 74464

Other Names 1

Other NameOklahoma Urology Center

Secondary Practice Location 1

Location 11500 E Downing St Ste 100Tahlequah, OK 74464-3354 · Phone (918) 458-5700 · Fax (918) 458-5790

Other Identifiers 2

Medicaid100125770AOK
Other684532300Dept Of Labor

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0980488

Raji M Gill · Tahlequah, OK
Active · expires Apr 29, 2028
CLIA Number37D0980488
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorRaji N. Gill
Laboratory Phone(918) 458-5700
Laboratory LocationRaji M GillTahlequah Medical Center 1500 E Downing Ste 100, Tahlequah, OK 74464
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Raji M Gill Do PC's NPI number?

The NPI number for Raji M Gill Do PC is 1679770176. It was assigned to this organization in the NPPES registry on June 28, 2007. The provider is also known as Oklahoma Urology Center.

Where is Raji M Gill Do PC located?

Raji M Gill Do PC is located at 1500 E Downing St Ste 100, Tahlequah, OK 74464. The listed phone number is (918) 458-5700.

What is Raji M Gill Do PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Raji M Gill Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0980488) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Raji M Gill Do PC was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.