Active NPI
Rachel Michal Ellis, M.D.
- Dermatology Physician
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101260202
- 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, 2026
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 94.99
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 53.39
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 78.82
- Improvement activities
- 40
- Cost
- 80.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 903 |
| Removal or shaving of skin growth | 28 |
| Skin biopsy | 423 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Dermatology Associates PC | Current | Accepting new patients | |
| Pariser Dermatology Specialists LTD | Dermatology | Current | 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
- rachelellis@pdsltd.allscriptsdirect.net
- 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.
-
- Dermatology Physician
- Norfolk, VA
- NPI 1417047952
-
- Specialist
- Virginia Beach, VA
- NPI 1033159454
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.