Ellen Embry, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036-087762 Issued in IL

Practice address

2040 Ogden Ave
Suite 201
Aurora, IL 60504-4700

Phone

(630) 978-6886

Fax

(630) 978-6806

NPI assigned

Sep 21, 2005

Last updated

Apr 13, 2020By the provider in NPPES

Sex

Female

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 IL

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

Obstetrics/Gynecology

Education

Loyola University of Chicago, Stritch School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eembry84046@direct.rush.rush-health.com

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.

• Rush University Medical Group

  dba Rush University Internists

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Rush-Copley Medical Group, NFP

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1093075848

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Rush Medical Group

  dba Rush Orthopaedics

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1467312850
  Medicare reassignment
• Rush University Medical Center

  dba Radiology Services

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1184269425
  NPD
• Rush Copley Medical Group

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1194836247
  NPD (past)
• Rush-Copley Medical Group

  • Obstetrics Physician
  • Aurora, IL
  • NPI 1013018340
  NPD (past)

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

• Copley Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1295882561
  Care Compare affiliation

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1245226711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE STE 201",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047205",
            "telephone_number": "630-978-6886",
            "fax_number": "630-978-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE",
            "address_2": "SUITE 201",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044700",
            "telephone_number": "630-978-6886",
            "fax_number": "630-978-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBRY",
        "first_name": "ELLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-087762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Ellis, PH.D.
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• Elmwood Terrace Healthcare Inc (Elmwood Center Nursing Home)
• Abiola Elusoji
• Embodied Mind LLC
• Emergency Treatment, S.C.
• Stephanie Emmitt, MSSA, LSW
• Empact Emergency Physicians LLC (Rush Copley Medical Center)
• Empower Health Services, LLC
• Empowerme Wellness Kansas City, LLC

• Obstetrics & Gynecology Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.