Individual provider Active NPI

Yechiel Nisan Gellman, MD, MSC

  • Orthopaedic Foot and Ankle Surgery Physician
  • Boston, MA
National Provider Identifier
1093210718
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
270574 Issued in MA
Practice address
New England Baptist Hospital
125 Parker Hill Avenue
Boston, MA 02120-2847
Phone
(857) 753-8722
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 270574 MA Primary

Addresses

Primary practice location

New England Baptist Hospital
125 Parker Hill Avenue
Boston, MA 02120-2847

Mailing address

1731 Beacon St Apt 4
Brookline, MA 02445-5322
Phone (857) 753-8722

Other practice location 1

Boston Out-Patient Surgical Suites
840 Winter Street
Waltham, MA 02451
Phone (781) 209-5645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
270574MAMDOrthopaedic Foot and Ankle Surgery Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1093210718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 BEACON ST APT 4",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024455322",
            "telephone_number": "857-753-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW ENGLAND BAPTIST HOSPITAL",
            "address_2": "125 PARKER HILL AVENUE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "857-753-8722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Boston Out-Patient Surgical Suites",
            "address_2": "840 Winter Street",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "02451",
            "country_code": "US",
            "telephone_number": "781-209-5645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELLMAN",
        "first_name": "YECHIEL",
        "middle_name": "NISAN",
        "name_prefix": "Dr.",
        "credential": "MD, MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "MA",
            "license": "270574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.