NPIMap

Individual provider Active NPI

Ellis G Reef, MD

  • Cardiovascular Disease Physician
  • Memphis, TN
National Provider Identifier
1154356764
Registry record updated Mar 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
14151 Issued in MS
Practice address
6025 Walnut Grove Rd
Echo Lab
Memphis, TN 38120-2131
Phone
(901) 226-5191
NPI assigned
Jul 12, 2006
Last updated
Mar 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD20046 TN
Cardiovascular Disease Physician 207RC0000X 14151 MS Primary

Addresses

Primary practice location

6025 Walnut Grove Rd
Echo Lab
Memphis, TN 38120-2131

Mailing address

595 Valleybrook Dr
Memphis, TN 38120-2705
Phone (901) 682-3792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000751 TN Practitioner - Cardiovascular Disease (Cardiology) 6800845470 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Electrocardiographic Physicians PLLCGroup PAC ID 0749332385, 2 clinicians
Baptist Memorial HospitalGroup PAC ID 6305739475, 9 clinicians

Practice addresses (Care Compare)

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.92
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14151MSMDCardiovascular Disease Physician
MD20046TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital CurrentSince Mar 8, 2012 Accepting new patients
Memphis Electrocardiographic Physicians PLLC Cardiovascular Disease CurrentSince Jul 15, 2009 Accepting new patients
Baptist Memorial Hospital CurrentSince Mar 8, 2012 Accepting new patients
Ellis Gavin Reef Cardiovascular Disease CurrentSince Apr 1, 2021 Accepting new patients

Locations

5885 Airline Rd
Unit 1012
Arlington, TN 38002

5885 Airline Rd
Unit 914
Arlington, TN 38002

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

6025 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-5754

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

Interoperability endpoints

  • Direct secure messaging: ereef14168@direct.bmhcc.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364601600000",
    "number": "1154356764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 VALLEYBROOK DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202705",
            "telephone_number": "901-682-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD",
            "address_2": "ECHO LAB",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202131",
            "telephone_number": "901-226-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEF",
        "first_name": "ELLIS",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD20046",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "14151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.