Brian E Ellis, M.D.
Individual provider Active NPI Family Medicine Physician · Danville, KY
NPI 1124038047 · NPPES record last updated Aug 30, 2011
Key facts
- NPI
- 1124038047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 29363 (KY)
- Practice address
- 109 Daniel Dr
Danville, KY 40422-2527 - Phone
- (859) 236-3361
- Fax
- (859) 239-9484
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 16
Owned or controlled facilities with NPI records 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ephraim McDowell Health Resource Inc
Ephraim McDowell Regional Medical Center Incorporated
Practice addresses (Care Compare)
109 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-3361
217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-2318
Hospital & facility affiliations
- Centerwell Home Health
- McDowell Home Health Agency
- Lifeline Health Care of Pulaski
- Caretenders
- Heritage Hospice, Inc
- Ephraim McDowell Fort Logan Hospital
- Ephraim McDowell Regional Medical Center
- The James B. Haggin Memorial Hospital
- Baptist Health Lexington
- Saint Joseph East
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.66 of 100
- Quality
- 39.23
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 43.79
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.36 of 100
- Quality
- 64.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.25
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Ephraim McDowell Regional Medical Center |
Hospital | Corporate Director | Jan 1, 2017 |
| Ephraim McDowell Regional Medical Center |
Hospital | Corporate Director | Jan 1, 2017 |
| McDowell Home Health |
Home health agency | Corporate Officer | Jan 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040405001143 | KY | Practitioner - Family Practice | 9739172966 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ephraim McDowell Regional Medical Center Incorporated | Current |
Accepting new patients | |
| Ephraim McDowell Regional Medical Center, Incorporated | Current |
Accepting new patients | |
| Ephraim McDowell Health Resource, Inc. | Family Medicine | Current | Accepting new patients |
| The James B. Haggin Memorial Hospital Inc | Current | Accepting new patients | |
| Ephraim McDowell Health Resource, Inc | Family Medicine | Current |
Accepting new patients |
| The James B. Haggin Memorial Hospital Inc. | Current |
Accepting new patients | |
| Ephraim McDowell Health Resource, Inc | Current |
Accepting new patients | |
| The James B. Haggin Memorial Hospital Inc | Current |
Accepting new patients | |
| Ephraim McDowell Regional Medical Center Incorporated | Family Medicine | Past | Accepting new patients |
Locations
1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208
109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870
1509 Louisville Rd
Harrodsburg, KY 40330
Phone (859) 236-7712
464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441
510 N Camp Dick Rd
Lancaster, KY 40444
Phone (859) 548-8000
511 Middleburg St
Liberty, KY 42539
Phone (606) 236-2388
280 Lincoln Dr
Springfield, KY 40069
Phone (859) 336-9801
110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360
116 Metker Trl
Stanford, KY 40484
Phone (606) 365-1547
5130 Parkway Plaza Blvd
Charlotte, NC 28217
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29363 | KY | Yes |
Addresses
Primary practice location
109 Daniel Dr
Danville, KY 40422-2527
Mailing address
PO Box 990
Danville, KY 40423-0990
Phone (859) 236-3361
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64293632 | Medicaid | KY |
Other providers in Danville, KY
- Edward D Parker LLC
- Madison Edwards
- Ekkco Inc.
- Elder Care Plus Inc
- Michael Collier Elkins
- Elmer F True DC PSC
- Ashley Embree
- Emhfl, Inc.
- Empact Midwest LLC
- Enlow and Shahzad Associates in Medicine,PSC
All providers in Danville, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2011. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.