Individual provider Active NPI

Ronald Eller III, PA-C

  • Surgical Physician Assistant
  • Salina, KS
National Provider Identifier
1851537153
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
15-02044 Issued in KS
Practice address
501 S Santa Fe Ave, Suite 200
Salina, KS 67401
Phone
(785) 452-7562
Fax
(785) 452-7105
NPI assigned
Dec 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Surgical Physician Assistant 363AS0400X 15-02044 KS Primary
Medical Physician Assistant 363AM0700X 15-02044 KS

Addresses

Primary practice location

501 S Santa Fe Ave, Suite 200
Salina, KS 67401

Mailing address

501 S Santa Fe Ave, Suite 200
Salina, KS 67401
Phone (785) 452-7562

Other identifiers 1

IdentifierTypeStateIssuer
201173880AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090822000001 MS Practitioner - Physician Assistant 8123172392 Reassigns benefits to 2 organizations
I20171122000407 KS Practitioner - Physician Assistant 8123172392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salina Regional Health Center IncGroup PAC ID 0446168215, 160 clinicians

Practice addresses (Care Compare)

400 S Santa Fe Ave
Salina, KS 67401-4144

501 S Santa Fe Ave
Salina, KS 67401-4189

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
79.94
Promoting interoperability
100
Improvement activities
40
Cost
71.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-02044KSMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Dominic Medical Associates LLC CurrentSince Jan 2, 2009 Accepting new patients
Reservoir Family Medical Clinic, PA Current Accepting new patients
River Oaks Management Company Inc CurrentSince Aug 27, 2013 Accepting new patients
Careplus Lakeview Family Medicine CurrentSince Aug 27, 2013 Accepting new patients
Salina Regional Health Center Inc CurrentSince Nov 1, 2017 Accepting new patients
Salina Regional Health Center Inc CurrentSince Nov 1, 2017 Accepting new patients
River Oaks Management Company LLC Past Accepting new patients
Comcare, P.a Past Accepting new patients

Locations

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

501 S Santa Fe Ave
Ste 200
Salina, KS 67401
Phone (785) 452-7245

501 S Santa Fe Ave
Ste 380
Salina, KS 67401
Phone (785) 452-6492

1860 Chadwick Dr
Ste 256
Jackson, MS 39204
Phone (601) 376-1934

Interoperability endpoints

  • Direct secure messaging: ronald.eller@srhcdirect.com
  • FHIR API: https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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 3

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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1851537153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE, SUITE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-452-7562",
            "fax_number": "785-452-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE, SUITE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-452-7562",
            "fax_number": "785-452-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "RONALD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-17",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "15-02044",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-02044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201173880A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.