Individual provider Active NPI

David L Ellens, MD

  • Internal Medicine Physician
  • Clermont, FL
National Provider Identifier
1780785402
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME156236 Issued in FL
Practice address
1735 E Hwy 50 Ste B
Clermont, FL 34711-5189
Phone
(352) 241-0549
Fax
(352) 242-9325
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036088924 IL
Internal Medicine Physician 207R00000X ME156236 FL Primary

Addresses

Primary practice location

1735 E Hwy 50 Ste B
Clermont, FL 34711-5189

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 2

IdentifierTypeStateIssuer
036088924MedicaidIL
115783900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.ellens.2@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220818002026 FL Practitioner - Internal Medicine 5698782274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Southern Illinois University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1735 E Hwy 50
Suite B
Clermont, FL 34711-5189
Phone (352) 241-0549

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (FL) Inc. Internal Medicine CurrentSince Apr 28, 2025 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Internal Medicine CurrentSince Apr 28, 2025 Accepting new patients
Centerwell Senior Primary Care FL Inc Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Internal Medicine Past Accepting new patients
Medical Home Alliance LLC Past Accepting new patients

Locations

1735 E Highway 50
Ste B
Clermont, FL 34711
Phone (352) 241-0549

1050 Cypress Pkwy
Kissimmee, FL 34759
Phone (407) 483-1400

4120 US Highway 98 N
Ste 200
Lakeland, FL 33809
Phone (863) 853-7822

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: david.ellens.2@29601.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1780785402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 E HWY 50 STE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115189",
            "telephone_number": "352-241-0549",
            "fax_number": "352-242-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENS",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088924",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME156236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088924",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115783900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.ellens.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1735 E Hwy 50 Ste B",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347115189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.