Timothy Ellington, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F6603 Issued in TX

Practice address

4803 Wesley St
Greenville, TX 75401-5649

Phone

(903) 408-7750

Fax

(903) 408-7802

NPI assigned

Jun 14, 2006

Last updated

Mar 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Internal Medicine

Education

University of Texas Medical Branch at Galveston, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: tellington264286@direct.sw.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Dallas Nephrology Associates

  • Nephrology Physician
  • Dallas, TX
  • NPI 1861440109
  Medicare reassignment NPD
• Dallas Nephrology Associates

  dba Dallas Nephrology Associates Vascular Center Dallas

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
  • NPI 1053634030
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD
• Healthtexas Provider Network

  dba Symmetry Anesthesia

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Pca-C

  • Family Medicine Physician
  • Greenville, TX
  • NPI 1982924239
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1649214586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754030957",
            "telephone_number": "903-408-7750",
            "fax_number": "903-408-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015649",
            "telephone_number": "903-408-7750",
            "fax_number": "903-408-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F6603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137940601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "807201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tellington264286@direct.sw.org",
            "affiliation": "N",
            "address_1": "4400 I H 30 W Ste 100",
            "city": "Greenville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754024620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chinedum D Eguzouwa
• Mahmoud El-Awady, DO
• Electrocardiography Assoc PA
• Anthony John Elisco III, D.O.
• Elite Primary Care PA
• Samantha Rae Elmore, AGACNP-BC, APRN
• Mohamed Elsaadni, MD
• Claire English, M.S., CCC-SLP
• Equate Global Services, Inc (Alliance Home Health Agency)
• Europa Enterprise LLC

• Internal Medicine Physician in Greenville, TX
• Providers in Greenville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.