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GRANT GILLAN MD
NPI 1164117909
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 07, 2023PECOS Enrolled
117 SOUTH 11TH STREET, 204 PAVILION, PHILADELPHIA, PA 19107(215) 503-3876(215) 955-2519 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grant Gillan Md NPPES

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

GRANT GILLAN MD (NPI 1164117909) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164117909
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGRANT GILLANCredential: MD
Location Address117 SOUTH 11TH STREET, 204 PAVILIONPhiladelphia, PA 19107
Mailing Address117 South 11th Street, 204 PavilionPhiladelphia, PA 19107 · (215) 503-3876 · Fax (215) 955-2519
Phone(215) 503-3876
Fax(215) 955-2519
Sole ProprietorNo
Enumeration DateApril 7, 2023
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1164117909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
117 SOUTH 11TH STREET, Philadelphia, PA 19107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grant Gillan 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.

Other Providers at the Same Location NPPES 3

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

ZACHARY DAVIS
Student in an Organized Health Care Education/Training Program
117 SOUTH 11TH STREET, 204 PAVILION
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3876
AARON SAMUEL GOMEZ
Student in an Organized Health Care Education/Training Program
117 SOUTH 11TH STREET, 204 PAVILION
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3876
REEM KHRAISHI MD
Student in an Organized Health Care Education/Training Program
117 SOUTH 11TH STREET, 204 PAVILION
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3876

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 Grant Gillan's NPI number?

The NPI number for Grant Gillan is 1164117909. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Grant Gillan located?

Grant Gillan practices at 117 South 11th Street 204 Pavilion, Philadelphia, PA 19107. The listed phone number is (215) 503-3876.

What is Grant Gillan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grant Gillan enrolled in Medicare?

Yes. Grant Gillan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grant Gillan was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.