Active NPI
Patrick Andrews Ellis, MD
- Obstetrics & Gynecology Physician
- Brownsville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- N4395
- Practice address
- 100 B E Alton Gloor Blvd Suite 160
Brownsville, TX 78526-3376 - Phone
- (956) 350-2245
- Fax
- (956) 350-9557
- NPI assigned
- Mar 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | N4395 | TX | Primary |
Addresses
Primary practice location
100 B E Alton Gloor Blvd Suite 160
Brownsville, TX 78526-3376
Mailing address
100B E Alton Gloor Blvd Ste 160
Brownsville, TX 78526-3376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219500002 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 B E Alton Gloor Blvd
Suite 160
Brownsville, TX 78526-3376
Phone (956) 350-2245
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N4395 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Su Clinica Familiar | Current | Accepting new patients | |
| Health Enterprises Corp | Obstetrics & Gynecology | Current | Accepting new patients |
| J. Gabriel Guajardo, MD, P.a. | Obstetrics & Gynecology | Past | Accepting new patients |
| Columbia Valley Healthcare System, L.P. | Past | Accepting new patients | |
| OB GYN of Brownsville PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
100 E Alton Gloor Blvd
Ste 300
Brownsville, TX 78526
Phone (956) 247-7000
100 E Alton Gloor Blvd
Ste 160B
Brownsville, TX 78526
Phone (956) 350-2245
100B E Alton Gloor Blvd
Ste 300
Brownsville, TX 78526
Phone (956) 350-2245
100 E Alton Gloor Blvd
Ste 160
Brownsville, TX 78526
100B E Alton Gloor Blvd
Ste 160
Brownsville, TX 78526
Phone (956) 350-2050
1706 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 365-6000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JEJDCA/Endpoint/JEJDCA
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.
-
- Obstetrics & Gynecology Physician
- Brownsville, TX
- NPI 1497018725
-
- Federally Qualified Health Center (FQHC)
- Harlingen, TX
- NPI 1285643304
-
- General Acute Care Hospital
- Brownsville, TX
- NPI 1043267701
-
- Obstetrics & Gynecology Physician
- Brownsville, TX
- NPI 1841571924
-
- Obstetrics & Gynecology Physician
- Brownsville, TX
- NPI 1780835272
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brownsville, TX
- NPI 1043267701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1417198722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100B E ALTON GLOOR BLVD STE 160",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785263376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 B E ALTON GLOOR BLVD SUITE 160",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785263376",
"telephone_number": "956-350-2245",
"fax_number": "956-350-9557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "PATRICK",
"middle_name": "ANDREWS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-16",
"last_updated": "2023-05-12",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "N4395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219500002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.