MICHAEL GILLMAN
NPI 1740434463
Pediatrics - Pediatric Emergency Medicine in Philadelphia, PA

Active since November 07, 2008PECOS Enrolled
98.91/100
CMS Quality Rating
160 E ERIE AVE, PHILADELPHIA, PA 19134(484) 628-1324 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Gillman NPPES

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

MICHAEL GILLMAN (NPI 1740434463) is an individual pediatric emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD443224) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740434463
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameMICHAEL GILLMAN
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Sole ProprietorYes
Enumeration DateNovember 7, 2008
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1740434463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in PA · MD443224
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License MD443224 (PA)
160 E ERIE AVE, Philadelphia, PA 19134

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Gillman 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 Reassignments

4

Medicare enrollment records show Michael Gillman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
3645 N FRONT ST
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
Emergency Medicine
1 COOPER PLZ, EMERGENCY DEPARTMENT
Camden, NJ 08103
  • Reassigned Medicare billing, New Jersey enrollment
  • 137 clinicians in this Medicare group
Pediatrics
3 COOPER PLZ, SUITE 200
Camden, NJ 08103
  • Reassigned Medicare billing, New Jersey enrollment
  • 45 clinicians in this Medicare group
Emergency Medical Services
2001 ROUTE 70 E
Cherry Hill, NJ 08003
  • Reassigned Medicare billing, New Jersey enrollment
  • 128 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.

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.

98.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.01
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134

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 Michael Gillman's NPI number?

The NPI number for Michael Gillman is 1740434463. It was assigned to this individual provider in the NPPES registry on November 7, 2008.

Where is Michael Gillman located?

Michael Gillman practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (484) 628-1324.

What is Michael Gillman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Michael Gillman enrolled in Medicare?

Yes. Michael Gillman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Gillman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gillman reassigns Medicare benefits to 4 organizations: Stc Pediatrics LLC (Philadelphia, PA), Cooper Univeristy Emergency Physicians, PC (Camden, NJ), Cooper Pediatrics (Camden, NJ) and Cooper Urgent Care, PC (Cherry Hill, NJ). 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 Michael Gillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Gillman accept?

Health plans from Oscar Health list Michael Gillman 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 Michael Gillman was last updated on May 21, 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.