Active NPI
Matthew David Ellington, M.D.
- Pediatric Orthopaedic Surgery Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- Q7037
- Practice address
- 1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723-3077 - Phone
- (512) 478-8116
- Fax
- (512) 478-9368
- NPI assigned
- Jun 1, 2010
- Last updated
- Jul 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | Q7037 | TX | Primary |
| Orthopaedic Surgery Physician | 207X00000X | Q7037 | TX | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Q7037 | TX |
Addresses
Primary practice location
1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723-3077
Mailing address
1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723-3077
Phone (512) 478-8116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q7037 | TX | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Pediatric Orthopedics and Scoliosis Surgery PA | Orthopaedic Surgery | Current | Accepting new patients |
| Central Texas Pediatric Orthopedics and Scoliosis Surgery PA | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1301 Barbara Jordan Blvd
Austin, TX 78723
Phone (512) 324-0098
1301 Barbara Jordan Blvd
Ste 300
Austin, TX 78723
1301 Medical Pkwy
Ste 330
Cedar Park, TX 78613
3532 Bee Caves Rd
Ste 110
West Lake Hills, TX 78746
Interoperability endpoints
- matthew.ellington.1@16041.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Pediatric Orthopaedic Surgery Physician
- Austin, TX
- NPI 1144294661
-
- Pediatric Orthopaedic Surgery Physician
- Round Rock, TX
- NPI 1336389873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1013237080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD",
"address_2": "SUITE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233077",
"telephone_number": "512-478-8116",
"fax_number": "512-478-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD",
"address_2": "SUITE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233077",
"telephone_number": "512-478-8116",
"fax_number": "512-478-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGTON",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-01",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "TX",
"license": "Q7037",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "Q7037",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TX",
"license": "Q7037",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.