Individual provider Active NPI

Ashton Cameron Ellison, MD

  • Gastroenterology Physician
  • Shreveport, LA
National Provider Identifier
1750744140
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
S6170 Issued in TX
Practice address
1501 Kings Hwy
Internal Medicine
Shreveport, LA 71103-4228
Phone
(318) 813-2528
Fax
(318) 813-2528
NPI assigned
Apr 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X S6170 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X BP10061672 TX

Addresses

Primary practice location

1501 Kings Hwy
Internal Medicine
Shreveport, LA 71103-4228

Mailing address

3434 Swiss Ave Ste 200
Dallas, TX 75204-6251
Phone (469) 800-7050

Other practice location 1

3434 Swiss Ave Ste 200
Dallas, TX 75204-6251
Phone (469) 800-7050

Other practice location 2

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20221010002214 TX Practitioner - Gastroenterology 0143516302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

3417 Gaston Ave
Suite 1000
Dallas, TX 75246-2037
Phone (469) 800-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux249

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S6170TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Single Specialty CurrentSince Sep 26, 2022 Accepting new patients
Healthtexas Provider Network Single Specialty CurrentSince Sep 26, 2022 Accepting new patients
Healthtexas Provider Network Single Specialty PastSince Nov 8, 2025 Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

3417 Gaston Ave
Ste 1000
Dallas, TX 75246
Phone (469) 800-9000

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

Interoperability endpoints

  • Direct secure messaging: aellison1680756@direct.texashealth.org
  • Direct secure messaging: aellison483867@direct.sw.org

Organizations & group practices 3

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 2

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1750744140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 SWISS AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046251",
            "telephone_number": "469-800-7050",
            "fax_number": "469-800-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "INTERNAL MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-813-2528",
            "fax_number": "318-813-2528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 Swiss Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752046251",
            "country_code": "US",
            "telephone_number": "469-800-7050",
            "fax_number": "469-800-7060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 N Beckley Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752031201",
            "country_code": "US",
            "telephone_number": "214-947-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "ASHTON",
        "middle_name": "CAMERON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "S6170",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10061672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.