ELLIOT J PELLMAN MD
NPI 1235192998
Internal Medicine - Sports Medicine in Lake Success, NY

Q: What is Elliot Pellman's NPI number?

The NPI number for Elliot Pellman is 1235192998. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Q: What is Elliot Pellman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Q: When was this NPI record last updated?

The NPPES record for Elliot Pellman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 11, 2006PECOS Enrolled

2800 MARCUS AVE, LAKE SUCCESS, NY 11042(516) 622-6040 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Elliot J Pellman Md NPPES

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

ELLIOT J PELLMAN MD (NPI 1235192998) is an individual sports medicine provider in Lake Success, New York, licensed in New York (144088) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235192998

Entity TypeIndividualMale

Primary Taxonomy207RS0010X

Provider Legal NameELLIOT J PELLMANCredential: MD

Location Address2800 MARCUS AVELake Success, NY 11042-1008

Mailing Address2800 Marcus AveLake Success, NY 11042-1008 · (516) 622-6040

Phone(516) 622-6040

Sole ProprietorNo

Enumeration DateApril 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1235192998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0010X

License✔ Licensed in NY · 144088

Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

2800 MARCUS AVE, Lake Success, NY 11042

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elliot J Pellman 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 Elliot Pellman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Medical Care, P.C.

30 mi

Cardiovascular Disease

90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Optum Medical Care PC
1,601 clinicians in this Medicare group

NPI 1982643003 (914) 241-1050

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.

MRS. LISA VITUCCI LCSW-R

Social Worker (Clinical)

2800 MARCUS AVE, SUITE 205
NEW HYDE PARK, NY 11042

Nassau County (516) 622-6000

DENNIS WILLIAM TREUBIG D.P.T.

Physical Therapist

2800 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 622-6161

GISELE WOLF-KLEIN MD

Internal Medicine (Geriatric Medicine)

2800 MARCUS AVE, SUITE 200
NEW HYDE PARK, NY 11042

Nassau County (516) 708-2522

KENNETH ANTHONY SCIOSCIA MD

Otolaryngology

2800 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 622-3377

ALLEN J WIESENFELD MD

Radiology (Vascular & Interventional Radiology)

2800 MARCUS AVE
LAKE SUCCESS, NY 11042

Nassau County (516) 622-6100

DR. BARRY COHEN M.D.

Anesthesiology

2800 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 622-6000

DR. SHAMALA GANDHI M.D.

Anesthesiology

2800 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 622-6000

HOWARD GUZIK MD

Internal Medicine (Geriatric Medicine)

2800 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 708-2520

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 Elliot Pellman's NPI number?

The NPI number for Elliot Pellman is 1235192998. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Elliot Pellman located?

Elliot Pellman practices at 2800 Marcus Ave, Lake Success, NY 11042. The listed phone number is (516) 622-6040.

What is Elliot Pellman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Elliot Pellman enrolled in Medicare?

Yes. Elliot Pellman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elliot Pellman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elliot Pellman reassigns Medicare benefits to Optum Medical Care, P.C. (Mount Kisco, NY). 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 Elliot Pellman'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 Elliot Pellman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.