Douglas Reid Gellerman, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G42777 Issued in CA

Practice address

7320 Woodlake Ave
Suite 190
West Hills, CA 91307-1468

Phone

(818) 883-0112

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Ophthalmology

Education

Jefferson Medical College of Thomas Jefferson University, 1975

Medicare assignment

May accept Medicare assignment

Group practices

Jonathan M. Davidorf, M.D. Inc.Group PAC ID 7719063825, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.23 of 100Reported as group

Quality

93.19

Improvement activities

40

Cost

73.18

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: dgellerman1358431@direct.uclahealth.org

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

• Jonathan M. Davidorf, M.D. Inc.

  • Ophthalmology Physician
  • West Hills, CA
  • NPI 1396913695
  Medicare reassignment Care Compare group NPD
• Warren J Reingold, MD, AMC

  • Specialist
  • North Hollywood, CA
  • NPI 1922024405
  Medicare reassignment NPD

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1639181530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22138 DARDENNE ST",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025867",
            "telephone_number": "818-222-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 WOODLAKE AVE",
            "address_2": "SUITE 190",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071468",
            "telephone_number": "818-883-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLERMAN",
        "first_name": "DOUGLAS",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G42777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G427770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Gardhouse, DPT
• Garfield Beach CVS LLC
• Gary C Bellman M D a Professional Corporation
• Gary H Nudell M D a Professional Corporation
• Roxane Geary, D.C., P.T.A.
• Nicholas Generales, DO
• Gentlebiodentistry
• Mariya Gershkovich, DPT
• Cynthia Gertz, PHARM.D.
• Gloria E Gesas, MSW

• Specialist in West Hills, CA
• Providers in West Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.