NPIMap

Individual provider Active NPI

Thomas J Ellis, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • State College, PA
National Provider Identifier
1235234428
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
OS007020L Issued in PA
Practice address
101 Regent CT
State College, PA 16801-7965
Phone
(814) 231-2101
Fax
(814) 231-8569
NPI assigned
Sep 13, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS007020L PA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X OS007020L PA Primary

Addresses

Primary practice location

101 Regent CT
State College, PA 16801-7965

Mailing address

101 Regent CT
State College, PA 16801-7965
Phone (814) 231-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100709000373 PA Practitioner - Orthopedic Surgery 5698740017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

101 Regent CT
State College, PA 16801-7965
Phone (814) 231-2101

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

205 Hampton Ave
Punxsutawney, PA 15767-2133
Phone (814) 938-0148

2910 Oklahoma Salem Rd
Du Bois, PA 15801-5832
Phone (814) 231-2101

3000 Fairway Dr
Altoona, PA 16602-4472
Phone (814) 942-1166

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.62 of 100Reported as group
Quality
76.03
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement50
Lower limb (leg) arthroscopy (minimally invasive joint repair)34
Upper limb (arm) arthroscopy (minimally invasive joint repair)46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS007020LPAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopedics Center, LTD Orthopaedic Surgery CurrentSince Aug 27, 1993 Accepting new patients
University Orthopedics Center, LTD CurrentSince Aug 27, 1993 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

3000 Fairway Dr
Altoona, PA 16602
Phone (814) 942-1166

101 Regent Ct
State College, PA 16801
Phone (814) 231-1504

Interoperability endpoints

  • Direct secure messaging: thomas.ellisdo.p1@direct.uoc.nextgenshare.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.

Hospital & facility affiliations 60

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

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235234428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 REGENT CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017965",
            "telephone_number": "814-231-2101",
            "fax_number": "814-231-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 REGENT CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017965",
            "telephone_number": "814-231-2101",
            "fax_number": "814-231-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS007020L",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "OS007020L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.