Active NPI
Dana Ellis, M.D.
- Dermatology Physician
- Lakewood Ranch, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME146921
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- Promoting interoperability
- 92
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 36 |
| Removal of skin lesions | 2206 |
| Removal of skin cancer | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 130 |
| Skin biopsy | 385 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A146889 | CA | MD | Dermatology Physician |
| ME146921 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TDG Connecticut PLLC | Dermatology | Current | Accepting new patients |
| The Dermatology Center of Connecticut, LLC | Dermatology | Current | Accepting new patients |
| Emily F Arsenault MD PA | Dermatology | Current | Accepting new patients |
| Island Dermatology, Inc | Dermatology | Current | 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.
-
- Dermatology Physician
- Lakewood Ranch, FL
- NPI 1851587794
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1508815556
-
- Dermatology Physician
- Wallingford, CT
- NPI 1922633213
-
- Dermatology Physician
- New Haven, CT
- NPI 1245744846
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.