DR. SUPRIA K. GILL PHD
NPI 1720599475
Psychologist - Health in Vacaville, CA
About Dr. Supria K. Gill Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUPRIA K. GILL PHD (NPI 1720599475) is an individual health provider in Vacaville, California, licensed in California (PSY29402) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Supria K. Gill Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Supria Gill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
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 Supria Gill's NPI number?
The NPI number for Supria Gill is 1720599475. It was assigned to this individual provider in the NPPES registry on October 21, 2017.
Where is Supria Gill located?
Supria Gill practices at 1 Quality Dr, Vacaville, CA 95688. The listed phone number is (707) 624-2794.
What is Supria Gill's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.
Is Supria Gill enrolled in Medicare?
Yes. Supria Gill is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Supria Gill's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Supria Gill reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Supria Gill'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 Supria Gill was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Supria K. Gill, PHD · NPI 1720599475
Health provider in Vacaville, California. Individual provider, active in the CMS NPPES registry since October 21, 2017.
## Identity
- **NPI:** 1720599475 (Entity type: Individual)
- **Enumerated:** October 21, 2017
- **Primary specialty:** Psychologist - Health · taxonomy 103TH0004X
- **State license:** PSY29402 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 QUALITY DR, Vacaville, CA 95688-9494
- **Phone:** (707) 624-2794
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720599475) · Data from the CMS NPPES public registry.