Individual provider Active NPI

Dana Ellis, M.D.

  • Dermatology Physician
  • Lakewood Ranch, FL
National Provider Identifier
1902171341
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME146921 Issued in FL
Practice address
8926 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6417
Phone
(941) 907-0222
Fax
(941) 907-0493
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A146889 CA
Dermatology Physician 207N00000X ME146921 FL Primary

Addresses

Primary practice location

8926 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6417

Mailing address

8926 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6417
Phone (941) 907-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160803000883 CT Practitioner - Dermatology 4183918881 Reassigns benefits to 1 organization
I20170417000443 CA Practitioner - Dermatology 4183918881 Reassigns benefits to 1 organization
I20200911000439 FL Practitioner - Dermatology 4183918881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emily F Arsenault MD PAGroup PAC ID 9739106584, 24 clinicians

Practice addresses (Care Compare)

8926 77TH Ter E
Unit 101
Lakewood Ranch, FL 34202-6417
Phone (941) 907-0222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.66 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision36
Removal of skin lesions2206
Removal of skin cancer1-10
Removal of nail tissue1-10
Removal or shaving of skin growth130
Skin biopsy385

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146889CAMDDermatology Physician
ME146921FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TDG Connecticut PLLC Dermatology CurrentSince Jan 16, 2018 Accepting new patients
The Dermatology Center of Connecticut, LLC Dermatology CurrentSince Oct 1, 2024 Accepting new patients
Emily F Arsenault MD PA Dermatology CurrentSince Oct 1, 2020 Accepting new patients
Island Dermatology, Inc Dermatology CurrentSince May 20, 2019 Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients

Locations

210 S Grand Ave
Ste 208
Glendora, CA 91741
Phone (626) 914-3675

360 San Miguel Dr
Ste 501
Newport Beach, CA 92660
Phone (949) 644-1025

134 Park St
New Haven, CT 06511
Phone (203) 865-0815

825 Meriden Waterbury Tpke
Southington, CT 06489
Phone (860) 426-3137

9652 Sr 64
Bradenton, FL 34212

5807 21st Ave W
Bradenton, FL 34209
Phone (941) 358-3223

230 Manatee Ave E
Bradenton, FL 34208
Phone (941) 907-0222

8926 77th Ter E
Unit 101
Lakewood Ranch, FL 34202
Phone (941) 264-1153

5860 Ranch Lake Blvd
Ste 103
Lakewood Ranch, FL 34202
Phone (941) 907-0222

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1902171341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 77TH TER E UNIT 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026417",
            "telephone_number": "941-907-0222",
            "fax_number": "941-907-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 77TH TER E UNIT 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026417",
            "telephone_number": "941-907-0222",
            "fax_number": "941-907-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A146889",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME146921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.