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DR. JUSTIN ULIP TILAN MD
NPI 1790195824
Orthopaedic Surgery - Orthopaedic Trauma in Saint Louis, MO

Active since April 29, 2014PECOS EnrolledAccepts Medicare Assignment
4921 PARKVIEW PL, STE 6A/6B/12A, SAINT LOUIS, MO 63110(314) 747-2500(314) 747-2598 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2021, Oct 31, 2017, Aug 24, 2016 (3 updates tracked since 2016).

About Dr. Justin Ulip Tilan Md NPPES

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

DR. JUSTIN ULIP TILAN MD (NPI 1790195824) is an individual orthopaedic trauma provider in Saint Louis, Missouri, licensed in Missouri (2017010648) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2012).

NPPES Registry Identity

NPI1790195824
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameDR. JUSTIN ULIP TILANCredential: MD
Location Address4921 PARKVIEW PL, STE 6A/6B/12ASaint Louis, MO 63110-1032
Mailing Address660 S Euclid Ave, C B 8233Saint Louis, MO 63110-1010 · (314) 747-2500 · Fax (314) 747-2598
Phone(314) 747-2500
Fax(314) 747-2598
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2012
Enumeration DateApril 29, 2014
Last NPPES UpdateNovember 30, 20213 updates tracked since enumeration
✔ NPI 1790195824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
License✔ Licensed in MO · 2017010648
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
4921 PARKVIEW PL, Saint Louis, MO 63110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin Ulip Tilan 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.

PECOS PAC ID7517254469
PECOS Enrollment IDI20160921001310
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.

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.

MS. CHERYL ANNE WOOLSEY PA
Physician Assistant
4921 PARKVIEW PL, DIV SURG HPB, STE 12B
SAINT LOUIS, MO 63110
St. Louis City (314) 747-0410
DR. CHARLES PHILLIPS JONES MD
Urology
4921 PARKVIEW PL, DIV SURG UROLOGY, STE 11C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-8200
DR. PRABHA RANGANATHAN MD
Internal Medicine (Rheumatology)
4921 PARKVIEW PL, DIV IM RHEUMATOLOGY, STE 5C
SAINT LOUIS, MO 63110
St. Louis City (314) 286-2635
DR. RALPH GERARD DACEY JR. MD
Neurological Surgery
4921 PARKVIEW PL, DEPT NEUROLOGICAL SURGERY, STE 6B/6C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3577
DR. KRASIMIRA MIKHAILOVA MIKHOVA MD
Internal Medicine (Clinical Cardiac Electrophysiology)
4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1291
DR. JEE YOUNG HAN MD
Psychiatry & Neurology (Neurology)
4921 PARKVIEW PL, DIV NEUROLOGY AGING AND DEMENTIA, STE 6C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1408
MS. MAREN JORGENSEN OT
Occupational Therapist
4921 PARKVIEW PL, DEPT OCCUPATIONAL THERAPY, STE 6F
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1669
DR. ADRIAN SHIFREN MD
Internal Medicine (Pulmonary Disease)
4921 PARKVIEW PL, DIV IM PULMONARY AND CCM, 8TH FL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-8917

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 Tilan's NPI number?

The NPI number for Justin Tilan is 1790195824. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Justin Tilan located?

Justin Tilan practices at 4921 Parkview Pl Ste 6a/6b/12a, Saint Louis, MO 63110. The listed phone number is (314) 747-2500.

What is Justin Tilan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Justin Tilan enrolled in Medicare?

Yes. Justin Tilan 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.

When was this NPI record last updated?

The NPPES record for Justin Tilan was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.