Kenneth K Ellis, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

H9203 Issued in TX

Practice address

11111 Research Blvd
Suite 390
Austin, TX 78759-5264

Phone

(512) 244-2273

Fax

(512) 671-7883

NPI assigned

Dec 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Baylor College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Austin Gastroenterology PLLCGroup PAC ID 9739174954, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Austin Medical Center Hospital, Austin, TX, CCN 450809
• St David'S Medical Center Hospital, Austin, TX, CCN 450431

Merit-based Incentive Payment System (MIPS)

Final score

80.02 of 100Reported as group

Quality

57.89

Promoting interoperability

96

Improvement activities

40

Cost

78.84

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://f1c3b871-8724-4a21-b291-f8f62dcb574b.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

• Austin Gastroenterology, PLLC

  • Gastroenterology Physician
  • Austin, TX
  • NPI 1316998016
  Medicare reassignment Care Compare group NPD
• Austin Gastroenterology PA

  • Clinical Medical Laboratory
  • Austin, TX
  • NPI 1619055365
  NPD

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

• St Davids Healthcare Partnership LP LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1629021845
  Care Compare affiliation
• St. Davids Healthcare Partnership, L.P., LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1114902228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10597",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787661597",
            "telephone_number": "512-485-5878",
            "fax_number": "512-420-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 RESEARCH BLVD",
            "address_2": "SUITE 390",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595264",
            "telephone_number": "512-244-2273",
            "fax_number": "512-671-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KENNETH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "H9203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Elliott, LPC, SEP
• Ellis Pediatrics
• Dara Ellis, LCSW
• David R Ellis, CRNA
• Kathryn M Ellis
• Leighton Elizabeth Ellis, M.D.
• Lila Ellis
• Lisa C Ellis, M.D.
• Tyler Aaron Ellis, CRNA
• Ashley Ellison

• Gastroenterology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.