What is Gillum Facial Plastic Surgery, PC's NPI number?

Gillum Facial Plastic Surgery, PC's National Provider Identifier (NPI) is 1063563617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Gillum Facial Plastic Surgery, PC?

Gillum Facial Plastic Surgery, PC is classified in the NPPES registry as Specialist (Other Service Providers).

Where is Gillum Facial Plastic Surgery, PC located?

Gillum Facial Plastic Surgery, PC's practice location on file with NPPES is 330 N Wabash Ave, Marion, IN 46952-2600.

What is Gillum Facial Plastic Surgery, PC's phone number?

The practice phone number listed in the NPPES registry for Gillum Facial Plastic Surgery, PC is (765) 651-4278.

Does Gillum Facial Plastic Surgery, PC accept Medicare?

Gillum Facial Plastic Surgery, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Gillum Facial Plastic Surgery, PC?

The authorized official listed on Gillum Facial Plastic Surgery, PC's NPPES record is Timothy Gillum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Gillum Facial Plastic Surgery, PC's NPI active?

Yes — Gillum Facial Plastic Surgery, PC's NPI (1063563617) is active in the NPPES registry as of the last update on 2020-08-22.

OrganizationActiveAccepts Medicare

Gillum Facial Plastic Surgery, PC

NPI 1063563617 · Specialist · Marion, IN

Gillum Facial Plastic Surgery, PC is a Specialist organization in Marion, IN (NPI 1063563617).

Provider details

NPI number: 1063563617
Entity type: Organization
Primary specialty: SpecialistOther Service Providers
Organization subpart: No
Authorized official: Timothy Gillum, Owner(765) 651-4278
License: 0155912A (IN)

Practice location

330 N Wabash Ave

Ste 210

Marion, IN 46952-2600

Phone: (765) 651-4278

Fax: (765) 664-6445

Street-level locationGet directions

Mailing address

Po Box 2063

Indianapolis, IN 46206-2063

Specialties & taxonomies

SpecialistPrimary174400000XLicense 0155912A (IN)
Other Service Providers

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2007-01-12
Last updated: 2020-08-22

Frequently asked questions

What is Gillum Facial Plastic Surgery, PC's NPI number?: Gillum Facial Plastic Surgery, PC's National Provider Identifier (NPI) is 1063563617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Gillum Facial Plastic Surgery, PC?: Gillum Facial Plastic Surgery, PC is classified in the NPPES registry as Specialist (Other Service Providers).
Where is Gillum Facial Plastic Surgery, PC located?: Gillum Facial Plastic Surgery, PC's practice location on file with NPPES is 330 N Wabash Ave, Marion, IN 46952-2600.
What is Gillum Facial Plastic Surgery, PC's phone number?: The practice phone number listed in the NPPES registry for Gillum Facial Plastic Surgery, PC is (765) 651-4278.
Does Gillum Facial Plastic Surgery, PC accept Medicare?: Gillum Facial Plastic Surgery, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Gillum Facial Plastic Surgery, PC?: The authorized official listed on Gillum Facial Plastic Surgery, PC's NPPES record is Timothy Gillum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Gillum Facial Plastic Surgery, PC's NPI active?: Yes — Gillum Facial Plastic Surgery, PC's NPI (1063563617) is active in the NPPES registry as of the last update on 2020-08-22.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions