Active NPI
Malathi Viswanathan Ellis, MD
- Obstetrics & Gynecology Physician
- Irving, TX
National Provider Identifier
1861509275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- M1655
- Practice address
- 6750 N Macarthur Blvd
Ste 206
Irving, TX 75039-2875 - Phone
- (972) 406-9911
- Fax
- (972) 406-9930
- NPI assigned
- Aug 23, 2006
- Last updated
- Aug 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | M1655 | TX | Primary |
Addresses
Primary practice location
6750 N Macarthur Blvd
Ste 206
Irving, TX 75039-2875
Mailing address
6750 N Macarthur Blvd
Ste 206
Irving, TX 75039-2875
Phone (972) 406-9911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Obstetrical and Gynecological Associates PA | Past | Accepting new patients |
Interoperability endpoints
- dmcmellis@yourcarecommunity.org
- malathi.ellis.1@11541.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Advanced Practice Midwife
- Dallas, TX
- NPI 1447672357
-
- Obstetrics & Gynecology Physician
- Irving, TX
- NPI 1942526991
-
- Specialist
- Irving, TX
- NPI 1114112851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1861509275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 N MACARTHUR BLVD",
"address_2": "STE 206",
"city": "IRVING",
"state": "TX",
"postal_code": "750392875",
"telephone_number": "972-406-9911",
"fax_number": "972-406-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 N MACARTHUR BLVD",
"address_2": "STE 206",
"city": "IRVING",
"state": "TX",
"postal_code": "750392875",
"telephone_number": "972-406-9911",
"fax_number": "972-406-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "MALATHI",
"middle_name": "VISWANATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "M1655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.