MR. JUSTIN DANIEL GELLMAN BS
NPI 1659122182
General Practice in Clayton, MO

Active since April 01, 2024PECOS Enrolled
248 GAY AVE, CLAYTON, MO 63105(314) 605-9889 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 16, 2026, Apr 3, 2025, Apr 1, 2024 (3 updates tracked since 2024).

About Mr. Justin Daniel Gellman Bs NPPES

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

MR. JUSTIN DANIEL GELLMAN BS (NPI 1659122182) is an individual general practice provider in Clayton, Missouri, licensed in Missouri (2026028673) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2025).

NPPES Registry Identity

NPI1659122182
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. JUSTIN DANIEL GELLMANCredential: BS
Location Address248 GAY AVEClayton, MO 63105-3622
Mailing Address248 Gay AveClayton, MO 63105-3622 · (314) 605-9889
Sole ProprietorYes
Medical School CMSDrexel University College Of MedicineGraduated 2025
Enumeration DateApril 1, 2024
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1659122182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · 2026028673
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
248 GAY AVE, Clayton, MO 63105

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Justin Daniel Gellman Bs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749748069
PECOS Enrollment IDI20260818000607
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 Justin Gellman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Missouri enrollment
  • 412 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.

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 Justin Gellman's NPI number?

The NPI number for Justin Gellman is 1659122182. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Justin Gellman located?

Justin Gellman practices at 248 Gay Ave, Clayton, MO 63105. The listed phone number is (314) 605-9889.

What is Justin Gellman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Justin Gellman enrolled in Medicare?

Yes. Justin Gellman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Gellman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Gellman reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Justin Gellman'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 Justin Gellman was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.