Individual provider Active NPI

Daniel Mekonnen Gellan, MD

  • Hospitalist Physician
  • Midland, TX
National Provider Identifier
1811315880
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
T3084 Issued in TX
Practice address
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone
(432) 221-1111
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD462131 PA
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X T3084 TX Primary

Addresses

Primary practice location

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846

Mailing address

4214 Andrews Hwy Ste 240
Midland, TX 79703-4817
Phone (432) 221-1111

Other practice location 1

3001 S Hanover St
Baltimore, MD 21225-1233
Phone (410) 350-3565

Other practice location 2

3001 S Hanover St
Baltimore, MD 21225-1233
Phone (410) 350-3565

Other practice location 3

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

Other identifiers 1

IdentifierTypeStateIssuer
T3084OtherTXTX LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DANIEL.GELLAN@midlandhealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171005000592 PA Practitioner - HospitalistPractitioner - Internal Medicine 8527333285 Reassigns benefits to 1 organization
I20211007002371 TX Practitioner - Internal Medicine 8527333285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMH PhysiciansGroup PAC ID 1759675911, 29 clinicians

Practice addresses (Care Compare)

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 221-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.02 of 100Reported as group
Quality
21.7
Improvement activities
40
Cost
76.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD462131PAMDHospitalist Physician
T3084TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MMH Physicians Hospitalist CurrentSince Oct 12, 2021 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 1, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 1, 2019 Accepting new patients
Midland County Hospital District Past Accepting new patients

Locations

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

4214 Andrews Hwy
Ste 240
Midland, TX 79703
Phone (432) 686-6605

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

400 Rosalind Redfern Grover Pkwy
Ste 100
Midland, TX 79701
Phone (432) 687-1949

Interoperability endpoints

  • Direct secure messaging: daniel.gellan@midlandhealth.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1811315880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034817",
            "telephone_number": "432-221-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015846",
            "telephone_number": "432-221-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 S Hanover St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212251233",
            "country_code": "US",
            "telephone_number": "410-350-3565",
            "fax_number": "410-354-0186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 S Hanover St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212251233",
            "country_code": "US",
            "telephone_number": "410-350-3565",
            "fax_number": "410-354-0186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "18711",
            "country_code": "US",
            "telephone_number": "570-808-7399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELLAN",
        "first_name": "DANIEL",
        "middle_name": "MEKONNEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD462131",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "T3084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "T3084",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DANIEL.GELLAN@midlandhealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Rosalind Redfern Grover Pkwy",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797015846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.