Individual provider Active NPI

Rodney Jay Ellis, M.D.

  • Radiation Oncology Physician
  • Tampa, FL
National Provider Identifier
1679508352
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME120553 Issued in FL
Practice address
2 Tampa General Cir FL 3
Tampa, FL 33606-3571
Phone
(813) 844-7585
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD467778 PA
Radiation Oncology Physician 2085R0001X ME120553 FL Primary

Addresses

Primary practice location

2 Tampa General Cir FL 3
Tampa, FL 33606-3571

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-7585

Other practice location 1

10740 Palm River Rd Ste 360
Tampa, FL 33619-4578
Phone (813) 844-7585

Other identifiers 1

IdentifierTypeStateIssuer
0312692MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050725001293 OH Practitioner - Radiation Oncology 8325075963 Reassigns benefits to 1 organization
I20220218001033 FL Practitioner - Radiation Oncology 8325075963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Northeastern Ohio University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

2 Tampa General Cir
FL 3
Tampa, FL 33606-3571
Phone (813) 844-7585

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME120553FLMDRadiation Oncology Physician
MD467778PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Genesiscare USA of Florida LLC Radiation Oncology Current Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Mar 1, 2022 Accepting new patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Tampa General Hospital Current Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Mar 1, 2022 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jul 1, 2010 Accepting new patients
Stark Radiation Oncology Inc. Radiation Oncology Past Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients
Stark Radiation Oncology Incorporated Radiation Oncology Past Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

2270 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 344-2391

4571 Colonial Blvd
Ste 100
Fort Myers, FL 33966
Phone (239) 333-0995

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

8931 Colonial Center Dr
Ste 100
Fort Myers, FL 33905
Phone (239) 226-2727

7341 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 489-3219

1120 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 369-6295

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

3210 Fruitville Rd
Sarasota, FL 34237
Phone (941) 364-8887

10740 Palm River Rd
Ste 360
Tampa, FL 33619
Phone (813) 660-6400

2 Tampa General Cir
Fl 3
Tampa, FL 33606
Phone (813) 259-0600

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

41201 Schadden Rd
Elyria, OH 44035
Phone (440) 324-0400

5885 Landerbrook Dr
Ste 100
Mayfield Hts, OH 44124
Phone (440) 460-1616

9485 Mentor Ave
Ste 3
Mentor, OH 44060
Phone (440) 205-5755

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

960 Clague Rd
Westlake, OH 44145
Phone (440) 250-2001

960 Clague Rd
Ste 3280
Westlake, OH 44145
Phone (440) 250-2033

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rodneyellis@uhhs.allscriptsdirect.net
  • Direct secure messaging: rellis@direct.swgeneral.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rellis294633@direct.tgh.org

Organizations & group practices 11

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1679508352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-844-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TAMPA GENERAL CIR FL 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-844-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10740 Palm River Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336194578",
            "country_code": "US",
            "telephone_number": "813-844-7585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "RODNEY",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD467778",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME120553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0312692",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.