NPIMap

Individual provider Active NPI

Robert Tyler Ellis, MD

  • Orthopaedic Surgery Physician
  • Oxford, MS
National Provider Identifier
1316467277
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
29723 Issued in MS
Practice address
735 Belk Blvd
Oxford, MS 38655-1992
Phone
(662) 513-2000
NPI assigned
Jun 22, 2017
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 29723 MS Primary

Addresses

Primary practice location

735 Belk Blvd
Oxford, MS 38655-1992

Mailing address

735 Belk Blvd
Oxford, MS 38655-1992
Phone (662) 513-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20220623001677 MS Practitioner - Orthopedic Surgery 7012286289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Tennessee, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Orthopaedics and Sports Medicine PLLCGroup PAC ID 8729085907, 12 clinicians

Practice addresses (Care Compare)

497 Azalea Dr
Oxford, MS 38655-7906
Phone (662) 513-2000

497 Azalea Dr
Suite 102
Oxford, MS 38655-7901

735 Belk Blvd
Oxford, MS 38655-1992
Phone (662) 513-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.81 of 100Reported as group
Quality
100
Promoting interoperability
92
Improvement activities
40
Cost
92.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement54
Knee replacement81
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Orthopaedics and Sports Medicine PLLC Orthopaedic Surgery CurrentSince Aug 1, 2023 Accepting new patients
Mississippi Sports Medicine & Orthopaedic Center Orthopaedic Surgery CurrentSince Jul 25, 2022 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc Past Accepting new patients

Locations

1325 E Fortification St
Jackson, MS 39202
Phone (601) 354-4488

497 Azalea Dr
Ste 102
Oxford, MS 38655
Phone (662) 513-2000

735 Belk Blvd
Oxford, MS 38655
Phone (662) 513-2000

Interoperability endpoints

  • Direct secure messaging: rellis70107@direct.bmhcc.org
  • Direct secure messaging: tellis@oxfordortho.emadirect.md

Organizations & group practices 3

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 8

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1316467277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551992",
            "telephone_number": "662-513-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551992",
            "telephone_number": "662-513-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ROBERT",
        "middle_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "29723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.