DR. KARA GABRIELLE GILL (M.D.) – Diagnostic Radiology Physician, NPI 1477634624

DR. KARA GABRIELLE GILL (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 49937 (WI). The NPI Number for DR. KARA GABRIELLE GILL (M.D.) is 1477634624

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. KARA GABRIELLE GILL (M.D.)
NPI
1477634624
Phone
(616) 363-7272
Address
3264 N EVERGREEN DR NE
Enumeration Date
17 October 2006
Last Update Date
16 May 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
6082636400
Graduation Year
2005 (21 years ago)
PAC ID
2163608175
Group Practice PAC ID
6608785464
Professional Enrollment ID
I20110509000431
Address ID
WI537920001MA600XXAVEX300

Contacts

Secure Messaging
kgill551784@direct.uwhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,650 DIAGNOSTIC RADIOLOGY in MI

Provider Addresses for DR. KARA GABRIELLE GILL (M.D.)

  • 3264 N EVERGREEN DR NE

    GRAND RAPIDS, MI 495259746

    Phone: (616) 363-7272

    Fax: (616) 361-5828

    Type: Mailing

  • University Hospital Outpatient Pharmacy, 600, Highland Avenue, Madison, Dane County, Wisconsin, 53705-2221, United States

    MADISON, WI 537920001

    Phone: (608) 263-8340

    Fax: (608) 263-0682

    Type: Location

  • 1755, Springhaven Court, Eastlake Village, Oconomowoc, Waukesha County, Wisconsin, 53066, United States

    OCONOMOWOC, WI 530664863

    Phone: (414) 550-7800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110509000431IDiagnostic RadiologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49525)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608785464View full group profile
NameSpecialtyState
-WI
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeWI
-WI
-WI
-WI
Endocrinology, Internal MedicineWI
Medical Oncology, Hematology/OncologyCA

Reviews

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Frequently asked questions

What is the registry number for DR. KARA GABRIELLE GILL (M.D.)?
The registry entry for DR. KARA GABRIELLE GILL (M.D.) shows NPI 1477634624.
Does the public listing show DR. KARA GABRIELLE GILL (M.D.) as active?
DR. KARA GABRIELLE GILL (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. KARA GABRIELLE GILL (M.D.) provide?
DR. KARA GABRIELLE GILL (M.D.)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KARA GABRIELLE GILL (M.D.)?
DR. KARA GABRIELLE GILL (M.D.) is associated with Grand Rapids, Michigan in the same public data insurers reference.
Why is information missing for DR. KARA GABRIELLE GILL (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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