Individual provider Active NPI

Tiffany M Ellis, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Melbourne, FL
National Provider Identifier
1760520035
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME115716 Issued in FL
Practice address
1350 Hickory St
Melbourne, FL 32901-3224
Phone
(321) 434-4225
Fax
(321) 434-4247
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME115716 FL Primary

Addresses

Primary practice location

1350 Hickory St
Melbourne, FL 32901-3224

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-4225

Other identifiers 2

IdentifierTypeStateIssuer
113907000MedicaidFL
WP953OtherFLHFMG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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
I20080605000799 FL Practitioner - Critical Care (Intensivists)Practitioner - AnesthesiologyPractitioner - Internal Medicine 8426946609 Reassigns benefits to 5 organizations
I20200625002032 TX Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 8426946609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Anesthesiology
Education
Eastern Virginia Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

63 Barkley Cir
Suite 103
Fort Myers, FL 33907-4514
Phone (239) 275-8882

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

Hospital & facility affiliations

National Provider Directory

National Provider Directory
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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Intensivist Medicine Services of TX, PLLC Critical Care Medicine CurrentSince Aug 1, 2023 Accepting new patients
Sarasota Anesthesia Services LLC Anesthesiology CurrentSince Aug 17, 2016 Accepting new patients
Innovative Medical Staffing Solutions Inc Anesthesiology CurrentSince Nov 6, 2016 Accepting new patients
Health First Medical Group, LLC CurrentSince Feb 2, 2026 Accepting new patients
Health First Medical Group, LLC Anesthesiology CurrentSince Feb 2, 2026 Accepting new patients
Dynamic Anesthesia Providers PLLC Anesthesiology CurrentSince May 1, 2021 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Dec 11, 2023 Accepting new patients
Orange City Anesthesia Services LLC Anesthesiology CurrentSince Aug 17, 2016 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC Anesthesiology Past Accepting new patients
MCV Associated Physicians Anesthesiology PastSince Sep 28, 2021 Accepting new patients
North American Partners in Anesthesia (Virginia), LLC Anesthesiology Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

652 Palm Springs Dr
Altamonte Springs, FL 32701
Phone (386) 785-3329

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

63 Barkley Cir
Ste 103
Fort Myers, FL 33907
Phone (239) 275-8882

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

130 Tamiami Trl N
Ste 210
Naples, FL 34102
Phone (239) 434-8707

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

100 S Orange Ave
Ste 800
Orlando, FL 32801
Phone (407) 377-0251

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

483 N Semoran Blvd
Winter Park, FL 32792
Phone (407) 367-0742

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1760520035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-434-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 HICKORY ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013224",
            "telephone_number": "321-434-4225",
            "fax_number": "321-434-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME115716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113907000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG",
            "identifier": "WP953",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.