NPIMap

Individual provider Active NPI

John H Ellis, M.D.

  • Cardiovascular Disease Physician
  • Plains, PA
National Provider Identifier
1316088669
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD024759E Issued in PA
Practice address
667 N River St
Suite 201
Plains, PA 18705-1013
Phone
(570) 823-1111
Fax
(570) 824-9044
NPI assigned
Feb 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD024759E PA Primary

Addresses

Primary practice location

667 N River St
Suite 201
Plains, PA 18705-1013

Mailing address

667 N River St
Suite 201
Plains, PA 18705-1013
Phone (570) 823-1111

Other identifiers 2

IdentifierTypeStateIssuer
00998678MedicaidPA
72728OtherPAFIRST PRIORITY HEALTH INS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110223000812 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7810972858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Hahnemann University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Pennsylvania Cardiology Associates LLPGroup PAC ID 1052384658, 6 clinicians

Practice addresses (Care Compare)

667 S River St
Suite 201
Plains, PA 18705-1012
Phone (570) 823-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as group
Quality
69.99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Pennsylvania Cardiology Associates LLP Cardiovascular Disease CurrentSince Apr 12, 1985 Accepting new patients

Locations

667 S River St
Ste 201
Plains, PA 18705
Phone (570) 823-1111

Organizations & group practices 2

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.

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316088669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 N RIVER ST",
            "address_2": "SUITE 201",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051013",
            "telephone_number": "570-823-1111",
            "fax_number": "570-824-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 N RIVER ST",
            "address_2": "SUITE 201",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051013",
            "telephone_number": "570-823-1111",
            "fax_number": "570-824-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD024759E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00998678",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH INS",
            "identifier": "72728",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plains, PA

Sources for this page

Verify at the official NPI Registry.