Michael Scott Ellender, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T573 Issued in SD

Practice address

1601 Mount Rushmore Rd
Suite 5
Rapid City, SD 57701-4588

Phone

(605) 348-7401

Fax

(605) 348-9773

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M. Scott Ellender, OD and Elizabeth a Ellender, OD, PCGroup PAC ID 5294717229, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• M. Scott Ellender, OD and Elizabeth a Ellender, OD, PC

  • Optometrist
  • Rapid City, SD
  • NPI 1568630085
  Medicare reassignment Care Compare group NPD
• Brad Moriarty OD PC

  • Corneal and Contact Management Optometrist
  • Rapid City, SD
  • NPI 1225338148
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1245301787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MOUNT RUSHMORE RD",
            "address_2": "SUITE 5",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014588",
            "telephone_number": "605-348-7401",
            "fax_number": "605-348-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MOUNT RUSHMORE RD",
            "address_2": "SUITE 5",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014588",
            "telephone_number": "605-348-7401",
            "fax_number": "605-348-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENDER",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "T573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201210",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elevate Performance
• Mikelle Eliason, CNP
• Susan L. Eliason, M.D.
• Douglas J Ell, CRNA
• Elizabeth Ann Ellender, O.D.
• Jason Ellingson, CRNA
• Jillian Elliott
• Kendall Marissa Elliott
• Dawn M Ellis, RPT
• Genie Marie Ellis, FNP

• Optometrist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.