Individual provider Active NPI

Robin Lesette Ellett, M.D.

  • Emergency Medicine Physician
  • St. Thomas, VI
National Provider Identifier
1861500795
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1194 Issued in VI
Practice address
5-17 Estate Nazareth
St. Thomas, VI 00802
Phone
(340) 774-5257
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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 1194 VI Primary

Addresses

Primary practice location

5-17 Estate Nazareth
St. Thomas, VI 00802

Mailing address

5-17 Estate Nazareth
St. Thomas, VI 00802
Phone (340) 774-5257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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
I20050927000860 VI Practitioner - Emergency MedicinePractitioner - Family Practice 6406881622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Hook Family Practice P.C.Group PAC ID 5496978363, 7 clinicians

Practice addresses (Care Compare)

6500 Red Hook PLZ
Suite 205
St Thomas, VI 00802-1346
Phone (340) 775-2303

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.04 of 100Reported as group
Quality
59.24
Improvement activities
40
Cost
97.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1194VIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red Hook Family Practice P.C. CurrentSince Jun 25, 2014 Accepting new patients

Locations

5000 Estate Enighed
St John, VI 00830
Phone (340) 693-7100

6500 Red Hook Plz
Ste 205
St Thomas, VI 00802
Phone (340) 775-2303

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBJEDD

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1861500795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5-17 ESTATE NAZARETH",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-774-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5-17 ESTATE NAZARETH",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-774-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLETT",
        "first_name": "ROBIN",
        "middle_name": "LESETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VI",
            "license": "1194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Thomas, VI

Sources for this page

Verify at the official NPI Registry.