Individual provider Active NPI

Rachel Michal Ellis, M.D.

  • Dermatology Physician
  • Chesapeake, VA
National Provider Identifier
1891051298
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101260202 Issued in VA
Practice address
510 Independence Pkwy Ste 600
Chesapeake, VA 23320-5220
Phone
(757) 622-6315
Fax
(757) 622-7021
NPI assigned
Apr 10, 2012
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101260202 VA Primary

Addresses

Primary practice location

510 Independence Pkwy Ste 600
Chesapeake, VA 23320-5220

Mailing address

510 Independence Pkwy Ste 600
Chesapeake, VA 23320-5220
Phone (757) 622-6315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170810001077 VA Practitioner - Dermatology 2466723382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Eastern Virginia Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pariser Dermatology Specialists LTDGroup PAC ID 7113902925, 33 clinicians

Practice addresses (Care Compare)

510 Independence Pkwy
Suite 600
Chesapeake, VA 23320-5220
Phone (757) 389-5544

Merit-based Incentive Payment System (MIPS)

Final score
84.52 of 100Reported as group
Quality
94.99
Promoting interoperability
100
Improvement activities
40
Cost
53.39

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
78.82
Improvement activities
40
Cost
80.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions903
Removal or shaving of skin growth28
Skin biopsy423

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Dermatology Associates PC CurrentSince May 1, 2018 Accepting new patients
Pariser Dermatology Specialists LTD Dermatology CurrentSince Mar 1, 2024 Accepting new patients

Locations

216 Mason Ave
Cape Charles, VA 23310
Phone (757) 331-1422

510 Independence Pkwy
Ste 600
Chesapeake, VA 23320
Phone (757) 389-5544

11842 Rock Landing Dr
Ste 120
Newport News, VA 23606
Phone (757) 595-8816

6160 Kempsville Cir
Ste 200A
Norfolk, VA 23502

1849 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 422-8476

Interoperability endpoints

  • Direct secure messaging: rachelellis@pdsltd.allscriptsdirect.net
  • Direct secure messaging: rellis@aiderm.trimed.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1891051298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 INDEPENDENCE PKWY STE 600",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205220",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 INDEPENDENCE PKWY STE 600",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205220",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "RACHEL",
        "middle_name": "MICHAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101260202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.