Active NPI
Rodney L. Ellis, MD, PC
- Internal Medicine Physician
- Lanham, MD
National Provider Identifier
1245418110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0021326
- Legal business name
- RODNEY L. ELLIS, MD, PC
- Practice address
- 9811 Greenbelt Rd
Suite 104
Lanham, MD 20706-2215 - Phone
- (301) 552-3953
- NPI assigned
- Feb 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rodney L Ellis, M.D.
- Title
- President
- Phone
- (301) 552-3953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0021326 | MD | Primary |
Addresses
Primary practice location
9811 Greenbelt Rd
Suite 104
Lanham, MD 20706-2215
Mailing address
9811 Greenbelt Rd
Suite 104
Lanham, MD 20706-2215
Phone (301) 552-3953
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D1103192 | Rodney L Ellis MD PC | Certificate of waiver | Aug 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
9811 Greenbelt Rd
Ste 104
Lanham Seabrook, MD 20706
Phone (301) 552-1111
Interoperability endpoints
- https://api.platform.athenahealth.com/4324/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320278400000",
"number": "1245418110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9811 GREENBELT RD",
"address_2": "SUITE 104",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062215",
"telephone_number": "301-552-3953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9811 GREENBELT RD",
"address_2": "SUITE 104",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062215",
"telephone_number": "301-552-3953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RODNEY L. ELLIS, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-04",
"last_updated": "2011-11-03",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-552-3953",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0021326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.