Justin Daniel Gellman, BS

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2026028673 Issued in MO

Practice address

248 Gay Ave
Clayton, MO 63105-3622

Phone

(314) 605-9889

NPI assigned

Apr 1, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1659122182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 GAY AVE",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053622",
            "telephone_number": "314-605-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 GAY AVE",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053622",
            "telephone_number": "314-605-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLMAN",
        "first_name": "JUSTIN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-01",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2026028673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Michele Freels, PHARMD
• Ariela Freeman, LCSW
• Gateway Oral and Maxillofacial Surgeons of St Louis, P.C.
• Courtney Deanna Gehrer, LCSW
• Marisa Gelfand, M.ED, LPC, NCC
• Leigh H Gerard, MA,PLPC
• Gina Gershilevich, MA, PLPC
• Charity E Ghitalla, MA, LPC
• Linda Lee Gibson, M.D.
• Gail Leslee Glenn

• General Practice Physician in Clayton, MO
• Providers in Clayton, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.