Individual provider Active NPI

Steven Paul Ellis, M.D.

  • Ophthalmology Physician
  • Lawrenceville, NJ
National Provider Identifier
1225031453
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA054450 Issued in NJ
Practice address
123 Franklin Corner Rd
Ste 207
Lawrenceville, NJ 08648-2526
Phone
(609) 896-9448
Fax
(609) 896-7052
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA054450 NJ Primary

Addresses

Primary practice location

123 Franklin Corner Rd
Ste 207
Lawrenceville, NJ 08648-2526

Mailing address

123 Franklin Corner Rd
Ste 207
Lawrenceville, NJ 08648-2526
Phone (609) 896-9448

Other identifiers 1

IdentifierTypeStateIssuer
5551200MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100405000005 NJ Practitioner - Ophthalmology 4789608399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercer Eye Associates PAGroup PAC ID 5991758864, 4 clinicians

Practice addresses (Care Compare)

123 Franklin Corner Rd
Suite 207
Lawrenceville, NJ 08648-2526
Phone (609) 450-7300

Merit-based Incentive Payment System (MIPS)

Final score
93.62 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
78.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA054450NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer Eye Associates PA Ophthalmology CurrentSince Apr 1, 1990 Accepting new patients
Mercer Eye Associates PA CurrentSince Apr 1, 1990 Accepting new patients
Cataract and Primary Eye Care Service, LP Ophthalmology Past Accepting new patients

Locations

123 Franklin Corner Rd
Ste 207
Trenton, NJ 08648
Phone (609) 450-7300

Interoperability endpoints

  • Direct secure messaging: stevenpellis@mercereye.direct.eyemdemr.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1225031453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "address_2": "STE 207",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-896-9448",
            "fax_number": "609-896-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "address_2": "STE 207",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-896-9448",
            "fax_number": "609-896-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA054450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5551200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.