Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin Ulip Tilan, MD

Individual provider Orthopaedic Trauma Physician · NPI 1790195824

Dr. Justin Ulip Tilan, MD is an Orthopedic Surgery in Saint Louis, Missouri. Graduated from University of California, Irvine, California College of Medicine in 2012, 14 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Trained at
University of California, Irvine, California College of Medicine
Licensed in
MO
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4921 Parkview Pl Ste 6A/6B/12A
Saint Louis, MO 63110-1032
Phone: (314) 747-2500
Fax: (314) 747-2598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Trauma Physician (primary) Taxonomy 207XX0801X · Licence 2017010648 (MO)

Record details

NPI number1790195824
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2014
Last updated in NPPESNovember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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