Organization Active NPI

Rodney L. Ellis, MD, PC

  • Internal Medicine Physician
  • Lanham, MD
National Provider Identifier
1245418110
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0021326 Issued in MD
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

Updated by the provider on Nov 3, 2011

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1103192Rodney L Ellis MD PC9811 Greenbelt Road #104, Lanham, MD 20706Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory

Locations

9811 Greenbelt Rd
Ste 104
Lanham Seabrook, MD 20706
Phone (301) 552-1111

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.