Individual provider Active NPI

Elliot Ellis, M.D.

  • Gastroenterology Physician
  • West Palm Beach, FL
National Provider Identifier
1396914800
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME103667 Issued in FL
Practice address
1117 N Olive Ave Ste 203
West Palm Beach, FL 33401-3520
Phone
(561) 802-4206
Fax
(561) 802-9059
NPI assigned
Feb 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME103667 FL Primary
Gastroenterology Physician 207RG0100X 239542 NY

Addresses

Primary practice location

1117 N Olive Ave Ste 203
West Palm Beach, FL 33401-3520

Mailing address

1117 N Olive Ave Ste 203
West Palm Beach, FL 33401-3520
Phone (561) 802-4206

Other practice location 1

3375 Burns Rd Ste 109
Palm Beach Gardens, FL 33410-4360
Phone (561) 802-9050

Other identifiers 1

IdentifierTypeStateIssuer
0016552500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090928000712 FL Practitioner - Gastroenterology 3678629904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Perelman School of Med at the University of Pennsylvania, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

3661 S Miami Ave
Miami, FL 33133-4214
Phone (305) 856-7333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy238
Upper gastrointestinal (GI) endoscopy for acid reflux219

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME103667FLMDGastroenterology Physician
239542NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC Gastroenterology CurrentSince Feb 1, 2018 Accepting new patients
Gastro Health LLC Gastroenterology CurrentSince Feb 1, 2018 Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

3375 Burns Rd
Ste 109
Palm Beach Gardens, FL 33410
Phone (561) 626-7575

1117 N Olive Ave
Ste 203
West Palm Beach, FL 33401
Phone (561) 659-5466

Interoperability endpoints

  • Direct secure messaging: elliot.ellis@gastrohealth.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1396914800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 N OLIVE AVE STE 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013520",
            "telephone_number": "561-802-4206",
            "fax_number": "561-802-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 N OLIVE AVE STE 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013520",
            "telephone_number": "561-802-4206",
            "fax_number": "561-802-9059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3375 Burns Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104360",
            "country_code": "US",
            "telephone_number": "561-802-9050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME103667",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "239542",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016552500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.