Individual provider Active NPI

Trevor Ashton Ellison, M.D., PH.D., MBA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Dallas, TX
National Provider Identifier
1285787341
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
W1957 Issued in TX
Practice address
221 W Colorado Blvd
Dallas, TX 75208-2363
Phone
(469) 695-2055
Fax
(469) 695-2056
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35.134693 OH
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X W1957 TX Primary
Surgery Physician 208600000X T4123 MD

Addresses

Primary practice location

221 W Colorado Blvd
Dallas, TX 75208-2363

Mailing address

221 W Colorado Blvd
Dallas, TX 75208-2363
Phone (469) 695-2055

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trevor.ellison@mchs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180910002404 OH Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Cardiac Surgery 5193974244 Reassigns benefits to 1 organization
I20251209002925 TX Practitioner - Cardiac Surgery 5193974244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Johns Hopkins University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians
University of Toledo Physicians LLCGroup PAC ID 8729983416, 400 clinicians

Practice addresses (Care Compare)

221 W Colorado Blvd
Suite 425
Dallas, TX 75208-2312
Phone (214) 947-3231

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
  • University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
T4123MDMDSurgery Physician
35.134693OHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
W1957TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC CurrentSince Nov 4, 2025 Accepting new patients
Medhealth CurrentSince Jan 12, 2026 Accepting new patients
University of Toledo Physicians LLC Surgery CurrentSince Nov 4, 2025 Accepting new patients
Medhealth CurrentSince Jan 12, 2026 Accepting new patients
Genesis Healthcare System Past Accepting new patients

Locations

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

221 W Colorado Blvd
Dallas, TX 75208
Phone (214) 941-7200

221 W Colorado Blvd
Ste 425
Dallas, TX 75208
Phone (214) 942-3100

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1285787341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082363",
            "telephone_number": "469-695-2055",
            "fax_number": "469-695-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082363",
            "telephone_number": "469-695-2055",
            "fax_number": "469-695-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "TREVOR",
        "middle_name": "ASHTON",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D., MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35.134693",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "W1957",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "T4123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trevor.ellison@mchs.com",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "85 McNaughten Rd Ste 110",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432135111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.