Individual provider Active NPI

Rodney Lane Ellis, M.D.

  • Internal Medicine Physician
  • Lanham, MD
National Provider Identifier
1104986405
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0021326 Issued in MD
Practice address
9811 Greenbelt Road
Suite 104
Lanham, MD 20706-6241
Phone
(301) 552-3953
Fax
(301) 552-3957
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0021326 MD Primary

Addresses

Primary practice location

9811 Greenbelt Road
Suite 104
Lanham, MD 20706-6241

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040628000652 DC Practitioner - Internal Medicine 7517942337 Reassigns benefits to 1 organization
I20230831002814 MD Practitioner - Internal Medicine 7517942337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Stanford University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group - Southern Maryland LLCGroup PAC ID 1355667056, 241 clinicians

Practice addresses (Care Compare)

3581 Old Washington Rd
Suite D
Waldorf, MD 20602-3270
Phone (301) 645-8322

7501 Greenway Ctr Dr
Suite 500
Greenbelt, MD 20770-3546
Phone (301) 373-7900

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Sep 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medstar Southern Maryland Physicians, LLC Past Accepting new patients

Locations

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

7501 Greenway Center Dr
Ste 500
Greenbelt, MD 20770
Phone (301) 257-5489

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

9811 Greenbelt Rd
Ste 104
Lanham Seabrook, MD 20706
Phone (301) 552-1111

3581 Old Washington Rd
Ste D
Waldorf, MD 20602
Phone (301) 609-5006

Interoperability endpoints

  • Direct secure messaging: rodney.ellismd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1104986405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 GREENBELT ROAD",
            "address_2": "SUITE 104",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066241",
            "telephone_number": "301-552-3953",
            "fax_number": "301-552-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "RODNEY",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0021326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.