Christopher James Ellis, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K3575 Issued in TX

Practice address

540 Chapel Dr
Mexia, TX 76667-3490

Phone

(254) 562-2821

NPI assigned

Jul 13, 2006

Last updated

Mar 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health and Human Services Commission

  dba Rio Grande State Center

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  Medicare reassignment NPD
• Health and Human Services Commission

  • Intellectual Disabilities Intermediate Care Facility
  • Lubbock, TX
  • NPI 1649363326
  NPD
• Health and Human Services Commission

  dba Big Spring State Hospital

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD
• Health and Human Services Commission

  • Long Term Care Pharmacy
  • Mexia, TX
  • NPI 1295805141
  NPD (past)
• Hood Medical Group

  • Family Medicine Physician
  • Granbury, TX
  • NPI 1225096472

  Internal Medicine

  NPD (past)
• Hood Medical Group

  • Rural Health Clinic/Center
  • Granbury, TX
  • NPI 1386341535
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1841215282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 STATE SCHOOL RD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762108823",
            "telephone_number": "940-891-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CHAPEL DR",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766673490",
            "telephone_number": "254-562-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113470204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F0713",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elsie Faye Daniels
• Ora Lashelle Davis, BCBA
• David Leslie Deffner, D.C.
• Dolphin Technologies Inc (Quality Pharmaceutical Services)
• Douglas Guthrie Jr DPM
• Encompass Pain Management LLC
• Erin Eppes, DPT
• Dolores Tan Erfe, MD
• Sharon M Eskridge, NP
• Flatland Medical Associates

• Internal Medicine Physician in Mexia, TX
• Providers in Mexia, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.