John G Ellis, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

G70713 Issued in CA

Practice address

40949 Winchester Rd
Temecula, CA 92591-6031

Phone

(951) 296-6676

Fax

(951) 296-6675

NPI assigned

Jan 23, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jge103pcs@m1768.primeclinicalsystems.direct-ci.com
• Direct secure messaging: jellis100912@direct.llu.edu
• FHIR API: https://fhir4.healow.com/fhir/r4/DHIDAA

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.

• Alliance Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Hemet, CA
  • NPI 1265700157
  Medicare reassignment NPD Authorized official
• John G Ellis MD Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Temecula, CA
  • NPI 1396927208
  Medicare reassignment NPD Authorized official
• De Anza Orthopedic Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Moreno Valley, CA
  • NPI 1255762340

  Sports Medicine

  Medicare reassignment NPD
• One Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Temecula, CA
  • NPI 1750021606

  Sports Medicine

  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1750351771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40949 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916031",
            "telephone_number": "951-296-6676",
            "fax_number": "951-296-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40949 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916031",
            "telephone_number": "951-296-6676",
            "fax_number": "951-296-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G70713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caydence Eller
• Victoria Ellickson
• Bailey Lynn Elliott
• Shannon Elliott
• Susan Lianne Elliott, APCC
• Ryan Ellis, DMD
• Latisha Ellison
• Ayman Elmasri
• Ramsey Elsayed, MD, MS
• Embrace Medical, LLC

• Sports Medicine (Orthopaedic Surgery) Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.