Individual provider Active NPI

Oriana V Ellis, MD

  • Surgery Physician
  • Fort Cavazos, TX
National Provider Identifier
1750875068
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
S6388 Issued in TX
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

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
S6388TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.