Active NPI
Oriana V Ellis, MD
- Surgery Physician
- Fort Cavazos, TX
National Provider Identifier
1750875068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- S6388
- Practice address
- 36065 Santa Fe Ave FL 2
Fort Cavazos, TX 76544-5060 - Phone
- (254) 553-3944
- Fax
- (254) 288-8875
- NPI assigned
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | S6388 | TX | |
| Surgery Physician | 208600000X | S6388 | TX | Primary |
Addresses
Primary practice location
36065 Santa Fe Ave FL 2
Fort Cavazos, TX 76544-5060
Mailing address
18511 Highlander Medics St, Wbamc
MCHM-Dos-GSR
El Paso, TX 79906
Phone (915) 742-0730
Other practice location 1
18511 Highlander Medics St, WBAMC
MCHM-Dos-GSR
El Paso, TX 79906
Phone (915) 742-0730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
29980 Network PL
Chicago, IL 60673-1299
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S6388 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrick Provider Network | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1750875068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18511 HIGHLANDER MEDICS ST, WBAMC",
"address_2": "MCHM-DOS-GSR",
"city": "EL PASO",
"state": "TX",
"postal_code": "79906",
"telephone_number": "915-742-0730",
"fax_number": "915-742-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36065 SANTA FE AVE FL 2",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "765445060",
"telephone_number": "254-553-3944",
"fax_number": "254-288-8875"
}
],
"practiceLocations": [
{
"address_1": "18511 Highlander Medics St, WBAMC",
"address_2": "MCHM-DOS-GSR",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "79906",
"country_code": "US",
"telephone_number": "915-742-0730",
"fax_number": "915-742-7889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIS",
"first_name": "ORIANA",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "S6388",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "S6388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Cavazos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.