Active NPI
Tiffany M Ellis, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- ME115716
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113907000 | Medicaid | FL | |
| WP953 | Other | FL | HFMG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Eastern Virginia Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Intensivist Medicine Services of TX, PLLC | Critical Care Medicine | Current | Accepting new patients |
| Sarasota Anesthesia Services LLC | Anesthesiology | Current | Accepting new patients |
| Innovative Medical Staffing Solutions Inc | Anesthesiology | Current | Accepting new patients |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Anesthesiology | Current | Accepting new patients |
| Dynamic Anesthesia Providers PLLC | Anesthesiology | Current | Accepting new patients |
| Fleming Island Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Orange City Anesthesia Services LLC | Anesthesiology | Current | 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 | Past | 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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Anesthesiology
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
-
- Anesthesiology Physician
- Orange City, FL
- NPI 1972882314
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1689857393
-
- Anesthesiology Physician
- Houston, TX
- NPI 1346752326
-
- Critical Care Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1790478444
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Certified Registered Nurse Anesthetist
- Orlando, FL
- NPI 1629308713
Anesthesiology
-
- Ambulatory Surgical Clinic/Center
- Sarasota, FL
- NPI 1740230523
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- Anesthesiology Physician
- Fairfax, VA
- NPI 1922031442
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1871935072
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.