1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Pediatrics
  6. NPI Profile

DR. BARRY GELMAN MD
NPI 1184652430
Pediatrics - Pediatric Critical Care Medicine in Miami, FL

Active since June 28, 2006PECOS Enrolled
81.31/100
CMS Quality Rating
1601 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33101(305) 243-4029(305) 243-8470 Get Directions Write a Review

NPPES record last updated: September 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Barry Gelman Md NPPES

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

DR. BARRY GELMAN MD (NPI 1184652430) is an individual pediatric critical care medicine provider in Miami, Florida, licensed in Florida (ME64706) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184652430
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. BARRY GELMANCredential: MD
Location Address1601 NW 12TH AVE, BOX 016960 M851Miami, FL 33101-6960
Mailing Address1601 Nw 12th Ave, Box 016960 M851Miami, FL 33101-6960 · (305) 243-4029 · Fax (305) 243-8470
Phone(305) 243-4029
Fax(305) 243-8470
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateSeptember 12, 2014
✔ NPI 1184652430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in FL · ME64706
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
1601 NW 12TH AVE, Miami, FL 33101
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN25849ZFL
Medicaid3759270-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Barry Gelman 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.

Medicare Billing Reassignment

Medicare enrollment records show Barry Gelman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami
Same address
Pediatric Hematology-Oncology
1601 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1104877612 (305) 243-7688

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

DR. WALTER F LAMBERT MD
Pediatrics
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
DR. YONG BAO MD
Pediatrics (Pediatric Endocrinology)
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
MS. MARIBETH VELASCO ARNP
Nurse Practitioner
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
ANDREW R COLIN MD
Pediatrics
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
DR. ANGELICA A FLOREN MD
Pediatrics
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
DR. FARIDA AHMED MD
Pediatrics
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
DR. CRISTINA LOPEZ HERNANDEZ PHD
Psychologist (Clinical Child & Adolescent)
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
JAYANTHI J CHANDAR MD
Pediatrics (Pediatric Nephrology)
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 585-6726

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 Barry Gelman's NPI number?

The NPI number for Barry Gelman is 1184652430. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Barry Gelman located?

Barry Gelman practices at 1601 NW 12th Ave Box 016960 M851, Miami, FL 33101. The listed phone number is (305) 243-4029.

What is Barry Gelman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Barry Gelman enrolled in Medicare?

Yes. Barry Gelman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Barry Gelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barry Gelman reassigns Medicare benefits to University Of Miami (Miami, FL). 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 Barry Gelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barry Gelman accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and Oscar Health Maintenance Organization of Florida list Barry Gelman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Barry Gelman was last updated on September 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.