Individual provider Active NPI

Jeffrey Gellis, D.O.

  • Gastroenterology Physician
  • Akron, OH
National Provider Identifier
1144488958
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MB08291400 Issued in NJ
Practice address
570 White Pond Dr
Suite 200
Akron, OH 44320-4205
Phone
(330) 869-0954
Fax
(330) 869-0964
NPI assigned
May 28, 2008
Last updated
Nov 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MB08291400 NJ Primary

Addresses

Primary practice location

570 White Pond Dr
Suite 200
Akron, OH 44320-4205

Mailing address

570 White Pond Dr
Suite 200
Akron, OH 44320-4205
Phone (330) 869-0954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000478 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 3173698511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Group IncGroup PAC ID 0244228518, 12 clinicians
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332
Phone (330) 745-1611

525 E Market St
Akron, OH 44304-1619

570 White Pond Dr
Akron, OH 44320-4208
Phone (330) 869-0954

6724 Wales Ave NW
Massillon, OH 44646-9006
Phone (330) 869-0954

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy210
Upper gastrointestinal (GI) endoscopy for acid reflux102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB08291400NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Jul 1, 2017 Accepting new patients
Summa Physicians LLC CurrentSince Jul 1, 2017 Accepting new patients
Gastroenterology Group Inc CurrentSince Apr 1, 2013 Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

570 White Pond Dr
Ste 150
Akron, OH 44320
Phone (330) 869-0173

570 White Pond Dr
Ste 200
Akron, OH 44320

155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000

6724 Wales Ave NW
Massillon, OH 44646
Phone (330) 837-4264

3780 Medina Rd
Medina, OH 44256
Phone (216) 406-4323

195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1144488958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 WHITE POND DR",
            "address_2": "SUITE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204205",
            "telephone_number": "330-869-0954",
            "fax_number": "330-869-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 WHITE POND DR",
            "address_2": "SUITE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204205",
            "telephone_number": "330-869-0954",
            "fax_number": "330-869-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLIS",
        "first_name": "JEFFREY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MB08291400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.