Individual provider Active NPI

Patrick Andrews Ellis, MD

  • Obstetrics & Gynecology Physician
  • Brownsville, TX
National Provider Identifier
1417198722
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N4395 Issued in TX
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

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
219500002MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215000908 TX Practitioner - Obstetrics/Gynecology 8527256619 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
N4395TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Su Clinica Familiar CurrentSince Aug 20, 2013 Accepting new patients
Health Enterprises Corp Obstetrics & Gynecology CurrentSince Aug 1, 2012 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 PastSince May 1, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.