Scott Joseph Ellis, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

27064 Issued in AZ

Practice address

726 N Greenfield Rd Ste 108
Gilbert, AZ 85234-5062

Phone

(480) 503-3055

Fax

(480) 503-3066

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

Jefferson Medical College of Thomas Jefferson University, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arizona Orthopedic and Surgical Specialty Hospital Hospital, Phoenix, AZ, CCN 030112
• Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gehsellis@yourcarecommunity.org
• FHIR API: https://api.platform.athenahealth.com/7767/brand/1/csg/1/fhir/r4
• Direct secure messaging: sellis@direct.uspi.com
• Direct secure messaging: scott.ellis.1@7767.direct.athenahealth.com

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.

• Canyon Vista Bone & Joint Surgery, P.C.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Gilbert, AZ
  • NPI 1427175777

  AZ, Sports Medicine

  Medicare reassignment NPD Authorized official
• Orthopedic Emergency Services, LLC

  • Orthopaedic Surgery Physician
  • Gilbert, AZ
  • NPI 1467986984

  Orthopaedic Surgery

  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Honorhealth

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1427875061

  Hospital

  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Florence, AZ
  • NPI 1497572036

  Hospital

  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1861219404

  Hospital

  Care Compare affiliation
• Orthopedic and Surgical Specialty Company, LLC

  • Special Hospital
  • Phoenix, AZ
  • NPI 1124163530

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1508980582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 N GREENFIELD RD STE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-503-3055",
            "fax_number": "480-503-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N GREENFIELD RD STE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345062",
            "telephone_number": "480-503-3055",
            "fax_number": "480-503-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SCOTT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-09-23",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "27064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Elliott, D.O.
• Kaitlyn D Elliott, MD
• Ellis DDD Services
• Erin Brett Ellis, NMD
• Robert Michael Ellis, NP
• Chantel Lanae Ellsworth, MAED
• Erik G Ellsworth, MD
• Kevin Ryan Ellsworth, M.D.
• Marc Andrew Ellsworth, MD
• Michele Lee Ellsworth

• All providers in Gilbert, AZ
• Sports Medicine (Orthopaedic Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.

Verify at the official NPI Registry.