Individual provider Active NPI

Ellen Lorraine Dore, MD

  • Emergency Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1780240523
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
70272 Issued in MN
Practice address
640 Jackson St
Saint Paul, MN 55101-2502
Phone
(651) 254-5091
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 70272 MN Primary

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2502

Mailing address

PO Box 113171
Anchorage, AK 99511-3171
Phone (907) 947-2155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, WI, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220831000808 AK Practitioner - Emergency Medicine 9931439213 Reassigns benefits to 3 organizations
I20230124000421 WI Practitioner - Emergency Medicine 9931439213 Reassigns benefits to 3 organizations
I20250717004260 TX Practitioner - Emergency Medicine 9931439213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.68 of 100Reported as group
Quality
84.45
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Emergency Medicine Associates Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Hudson Hospital, Inc. CurrentSince Oct 12, 2022 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Feb 20, 2025 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 23, 2023 Accepting new patients
South Peninsula Hospital, Inc. Emergency Medicine CurrentSince Mar 28, 2025 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Feb 20, 2025 Accepting new patients
Maniilaq Association CurrentSince May 21, 2025 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Maniilaq Association Current Accepting new patients
Westfields Hospital, Inc CurrentSince Jan 5, 2023 Accepting new patients
Maniilaq Association CurrentSince May 21, 2025 Accepting new patients
Hudson Hospital, Inc. CurrentSince Oct 12, 2022 Accepting new patients
Westfields Hospital, Inc. CurrentSince Jan 5, 2023 Accepting new patients
Group Health, Inc. Past Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

640 Jackson St
#11102F
Saint Paul, MN 55101
Phone (651) 254-3456

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf

Organizations & group practices 14

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 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1780240523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113171",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995113171",
            "telephone_number": "907-947-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORE",
        "first_name": "ELLEN",
        "middle_name": "LORRAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "70272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.