Individual provider Active NPI

Neil James Ellis, M.D.

  • Interventional Pain Medicine Physician
  • Pinellas Park, FL
National Provider Identifier
1104092972
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME115797 Issued in FL
Practice address
6449 102ND Ave N
Pinellas Park, FL 33782-3027
Phone
(727) 350-0450
NPI assigned
May 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME115797 FL
Interventional Pain Medicine Physician 208VP0014X ME115797 FL Primary

Addresses

Primary practice location

6449 102ND Ave N
Pinellas Park, FL 33782-3027

Mailing address

501 N Reo St Ste 100
Tampa, FL 33609-1012
Phone (813) 549-2134

Other practice location 1

4730 N Habana Ave Ste 104
Tampa, FL 33614-7165
Phone (727) 548-6100

Other practice location 2

14438 University Cove Pl
Tampa, FL 33613-3740
Phone (813) 739-7497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130819000833 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3678715786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Eastern Virginia Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

4730 N Habana Ave
Suite 104
Tampa, FL 33614-7165
Phone (813) 739-7498

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain Relief Group PLLC Anesthesiology CurrentSince Dec 3, 2018 Accepting new patients
Florida Medical Pain Management LLC Interventional Pain Medicine CurrentSince Aug 1, 2013 Accepting new patients
Charles K Friedman DO PA Interventional Pain Medicine CurrentSince Dec 27, 2020 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

1320 S Belcher Rd
Clearwater, FL 33764
Phone (727) 518-8660

6310 Health Park Way
Ste 320
Lakewood Ranch, FL 34202
Phone (941) 361-1123

8139 State Road 54
New Port Richey, FL 34655
Phone (727) 375-0600

6449 102nd Ave N
Pinellas Park, FL 33782
Phone (727) 350-0450

6333 54th Ave N
St Petersburg, FL 33709
Phone (727) 548-6100

5767 49th St N
St Petersburg, FL 33709
Phone (727) 350-0450

14438 University Cove Pl
Tampa, FL 33613
Phone (813) 531-8160

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

10903 Sheldon Rd
Tampa, FL 33626
Phone (727) 631-7846

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

Interoperability endpoints

  • Direct secure messaging: neil.ellis@ppoa.directbygreenway.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1104092972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N REO ST STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091012",
            "telephone_number": "813-549-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 102ND AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337823027",
            "telephone_number": "727-350-0450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4730 N Habana Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336147165",
            "country_code": "US",
            "telephone_number": "727-548-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14438 University Cove Pl",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336133740",
            "country_code": "US",
            "telephone_number": "813-739-7497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "NEIL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME115797",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME115797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.