Individual provider Active NPI

Ellys R. Fernandez Mejia, DDS

  • General Practice Dentistry
  • Palm Springs, FL
National Provider Identifier
1093159923
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22382 Issued in FL
Practice address
3098 Forest Hill Blvd Unit 2
Palm Springs, FL 33406-5940
Phone
(718) 577-8800
NPI assigned
Apr 22, 2013
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.024662 OH
General Practice Dentistry 1223G0001X DN22382 FL Primary

Addresses

Primary practice location

3098 Forest Hill Blvd Unit 2
Palm Springs, FL 33406-5940

Mailing address

3098 Forest Hill Blvd Unit 2
Palm Springs, FL 33406-5940
Phone (718) 577-8800

Other names 1

  • Dr. Ellys R. Tronilo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140212001250 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0345479499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.024662OHMDDentist
DN22382FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Dental of Boynton Beach, P.a. General Practice Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1093159923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3098 FOREST HILL BLVD UNIT 2",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065940",
            "telephone_number": "718-577-8800",
            "fax_number": "561-834-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 FOREST HILL BLVD UNIT 2",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065940",
            "telephone_number": "718-577-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ MEJIA",
        "first_name": "ELLYS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024662",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLYS",
            "last_name": "TRONILO",
            "middle_name": "R.",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.