Ellie Alevritis, MD
Individual provider Active NPI Hospitalist Physician · Sun City, AZ
NPI 1073573267 · NPPES record last updated Sep 22, 2015
Key facts
- NPI
- 1073573267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 33430 (AZ)
- Practice address
- 10401 W Thunderbird Blvd
Sun City, AZ 85351-3004 - Phone
- (623) 832-5702
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- East Tennessee State University Quillen College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Hospital Based Physicians Arizona LLC
Practice addresses (Care Compare)
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000
Hospital & facility affiliations
- Banner Boswell Medical Center
- Banner Thunderbird Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.7 of 100
- Quality
- 64.97
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 69.88
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050930000422 | AZ | Practitioner - Internal Medicine | 2163405358 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Hospital Based Physicians Arizona LLC | Current |
Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current |
Accepting new patients | |
| Medical Education Assistance Corporation | Internal Medicine | Past |
Accepting new patients |
| Banner Boswell Medical Center | Past | Accepting new patients |
Locations
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 33430 | AZ | |
| Hospitalist Physician | 208M00000X | 33430 | AZ | Yes |
Addresses
Primary practice location
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Mailing address
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-5702
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97354601 | Medicaid | AZ |
Other providers in Sun City, AZ
- Raniah Al-Tamsheh
- Mohammed S Alani
- Alaunus Anesthesia PLC
- Kimberly Briones Albright
- Carla Jean Aldaz
- Alicia K Guice MD PLLC
- Amin Alishahi
- All About Healing, LLC
- All About Medical Supplies, LLC
- Allen Foot and Ankle Medicine and Surgery PLC
All providers in Sun City, AZ · Hospitalist Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.