Kelvin Ellis Jr., D.O.
Individual provider Active NPI Emergency Medicine Physician · Zachary, LA
NPI 1407340441 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1407340441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 346884 (LA)
- Practice address
- 6300 Main St
Zachary, LA 70791-4037 - Phone
- (225) 658-4316
- NPI assigned
- Jun 21, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vincent Emergency Group, LLC
Fep of Kentucky LLC
Buffalo Emergency Associates LLP
Acs Primary Care Physicians Louisiana PC
Practice addresses (Care Compare)
100 Medical Ctr Dr
Slidell, LA 70461-5520
Phone (985) 649-7070
320 W 18TH St
Hopkinsville, KY 44240-1965
Phone (505) 287-4446
565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000
6300 Main St
Zachary, LA 70791-4037
Phone (225) 658-4335
Hospital & facility affiliations
- Jennie Stuart Medical Center
- Slidell Memorial Hospital
- Lane Regional Medical Center
- Mercy Hospital of Buffalo
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NY, KY, LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220728002997 | NY | Practitioner - Emergency Medicine | 9234486390 | Reassigns benefits to 1 organization |
| I20250828000513 | KY | Practitioner - Emergency Medicine | 9234486390 | Reassigns benefits to 1 organization |
| I20251118000377 | LA | Practitioner - Emergency Medicine | 9234486390 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346884 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fep of Kentucky LLC | Emergency Medicine | Current |
Accepting new patients |
| Buffalo Emergency Associates LLP | Emergency Medicine | Current |
Accepting new patients |
| Acs Primary Care Physicians Louisiana PC | Emergency Medicine | Current |
Accepting new patients |
| Vincent Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
6300 Main St
Zachary, LA 70791
Phone (225) 570-2618
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 346884 | LA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 315779 | NY |
Addresses
Primary practice location
6300 Main St
Zachary, LA 70791-4037
Mailing address
3600 Forbes Ave
Pittsburgh, PA 15213-3410
Other practice location 1
501 Howard Avenue
Suite F2
Altoona, PA 16601
Phone (814) 889-2020
Other providers in Zachary, LA
- Tyler M Edwards
- Sarah Wallace Eisworth
- Peter Ejiofor
- Adam Elam
- Keith Brian Elbourne
- Tina C Elwood
- Emerging Therapist Solutions LLC
- Calandra Emery
- Empowering Healthcare Too Adult Day Program
- Blake Esch
All providers in Zachary, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.