Stephen Richard Ellis, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

M0712 Issued in TX

Practice address

3625 N Hall St Ste 800
Dallas, TX 75219-5106

Phone

(214) 252-3500

NPI assigned

Apr 11, 2006

Last updated

May 22, 2023By 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

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

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.

• Metropolitan Anesthesia Consultants, LLP

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1902859697
  Medicare reassignment NPD
• DRS. Porter and Sone & Associates, PA

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1427253285
  NPD (past)
• Metropolitan Anesthesia Consultants, PA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1669425112
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1861455719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650823 DEPT 41197",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650823",
            "telephone_number": "800-411-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 N HALL ST STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195106",
            "telephone_number": "214-252-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "STEPHEN",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M0712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Ellis, PA
• Paul Roscoe Ellis III, M.D.
• Roneisha Ellis
• Sarah Nicole Ellis
• Shauna Ellis, LCSW-S
• Tamara Ellis
• Tara Ellis
• Theresa Ellis, APRN
• Yvette Elida Ellis
• Ashleigh Caroline Ellison

• Anesthesiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.