Active NPI
John C. Ely, M.D.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 31560
- Practice address
- 987400 Nebraska Medical Center
Omaha, NE 68198 - Phone
- (402) 552-3676
- NPI assigned
- May 16, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 31560 | NE | Primary |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 36080 | MN | |
| Family Medicine Physician | 207Q00000X | 36080 | MN |
Addresses
Primary practice location
987400 Nebraska Medical Center
Omaha, NE 68198
Mailing address
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Other practice location 1
2450 Riverside Ave
F524 Palliative Care
Minneapolis, MN 55454-1450
Phone (612) 672-6362
Other practice location 2
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000
Other practice location 3
2450 Riverside Ave
F524 Palliative Care
Minneapolis, MN 55454-1450
Phone (612) 672-6362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036113303 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Family Practice
- Education
- University of Nebraska College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2450 Riverside Ave
Minneapolis, MN 55454-1450
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 273-8383
516 Delaware St SE
Minneapolis, MN 55455-0356
Phone (612) 625-3600
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7000
911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-1313
919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.44 of 100
- Quality
- 82.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36080 | MN | MD | Family Medicine Physician |
| 31560 | NE | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Group Health, Inc. | Past | Accepting new patients | |
| Midwest Palliative & Hospice Carecenter | Past | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
914 S 8th St
#D4
Minneapolis, MN 55404
Phone (612) 347-6450
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
2450 Riverside Ave
#F524
Minneapolis, MN 55454
Phone (612) 672-6362
914 S 8th St
Ste D4
Minneapolis, MN 55404
Phone (612) 347-3744
600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651
400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
1151 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (612) 706-4500
Interoperability endpoints
- jely302203@fairview.direct-ci.com
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
- Primary Care Clinic/Center
- Hugo, MN
- NPI 1518111772
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Specialty Pharmacy
- Minneapolis, MN
- NPI 1619567625
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Home Health Agency
- Glenview, IL
- NPI 1811011919
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1619929916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "987400 NEBRASKA MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "68198",
"telephone_number": "402-552-3676"
}
],
"practiceLocations": [
{
"address_1": "2450 Riverside Ave",
"address_2": "F524 Palliative Care",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554541450",
"country_code": "US",
"telephone_number": "612-672-6362",
"fax_number": "612-672-6363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Park Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554151623",
"country_code": "US",
"telephone_number": "612-873-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2450 Riverside Ave",
"address_2": "F524 Palliative Care",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554541450",
"country_code": "US",
"telephone_number": "612-672-6362",
"fax_number": "612-672-6363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELY",
"first_name": "JOHN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "NE",
"license": "31560",
"primary": true
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "MN",
"license": "36080",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "36080",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036113303",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.