MIGUEL GELMAN MD
NPI 1255378832
Radiology - Diagnostic Radiology in Saint Louis, MO
About Miguel Gelman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIGUEL GELMAN MD (NPI 1255378832) is an individual diagnostic radiology provider in Saint Louis, Missouri, licensed in Missouri (2001010859) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Miguel Gelman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Miguel Gelman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Centralia, IL 62801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: St Marys Hospital Centralia Illinois
- 392 clinicians in this Medicare group
Mount Vernon, IL 62864
- Reassigned Medicare billing, Illinois enrollment
- 284 clinicians in this Medicare group
Newton, IL 62448
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1265493720 (Illinois)
- 145 clinicians in this Medicare group
Olympia Fields, IL 60461
- Reassigned Medicare billing, Missouri enrollment
- 13 clinicians in this Medicare group
Bedford, NH 03110
- Reassigned Medicare billing, Missouri and New Hampshire enrollments
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 43
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Elliot Hospital
Acute Care Hospitals · Manchester, NHSouthern Nh Medical Center
Acute Care Hospitals · Nashua, NHWeeks Medical Center
Critical Access Hospitals · Lancaster, NHMonadnock Community Hospital
Critical Access Hospitals · Peterborough, NHAndroscoggin Valley Hospital
Critical Access Hospitals · Berlin, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
SAINT LOUIS, MO 63128
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 Miguel Gelman's NPI number?
The NPI number for Miguel Gelman is 1255378832. It was assigned to this individual provider in the NPPES registry on June 1, 2006.
Where is Miguel Gelman located?
Miguel Gelman practices at 13303 Tesson Ferry Rd, Saint Louis, MO 63128. The listed phone number is (314) 843-5888.
What is Miguel Gelman's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Miguel Gelman enrolled in Medicare?
Yes. Miguel Gelman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Miguel Gelman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Gelman reassigns Medicare benefits to 5 organizations: St. Mary's Hospital, Centralia, Illinois (Centralia, IL), Good Samaritan Regional Health Center (Mount Vernon, IL), Crawford Hospital District (Newton, IL), Specialists In Medical Imaging Sc (Olympia Fields, IL) and Southern New Hampshire Radiology Consultants PC (Bedford, NH). Each 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 Miguel Gelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Miguel Gelman accept?
Health plans from Ambetter from NH Healthy Families, Taro Health and WellSense Health Plan list Miguel 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.
Is Miguel Gelman affiliated with any hospitals?
According to CMS data, Miguel Gelman is affiliated with Elliot Hospital, Southern Nh Medical Center, Weeks Medical Center, Monadnock Community Hospital and Androscoggin Valley Hospital.
When was this NPI record last updated?
The NPPES record for Miguel Gelman was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.