Active NPI
Ella Viktorovna Farricielli, M.D.
- Internal Medicine Physician
- Waxahachie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N7920
- Practice address
- 505 N Highway 77
Suite 200
Waxahachie, TX 75165-1128 - Phone
- (972) 923-1686
- Fax
- (972) 937-7731
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TRN10075 | FL | |
| Internal Medicine Physician | 207R00000X | N7920 | TX | Primary |
Addresses
Primary practice location
505 N Highway 77
Suite 200
Waxahachie, TX 75165-1128
Mailing address
505 N Highway 77
Suite 200
Waxahachie, TX 75165-1128
Phone (972) 923-1686
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8CR652 | Other | TX | BCBSTX |
| 280059101 | Medicaid | TX |
Other names 1
- Dr. Ella Viktorovna Aksenova
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1006
316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2901
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 79.17
- Improvement activities
- 40
- Cost
- 69.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN10075 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians of SC, LLC | Current | Accepting new patients | |
| South Carolina Group Services, LLC | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital Inc. | Past | Accepting new patients | |
| Roper Hospital, Inc | Past | Accepting new patients |
Locations
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Charleston, SC
- NPI 1144877655
-
- Hospitalist Physician
- Mount Pleasant, SC
- NPI 1609212232
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1942399530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N HIGHWAY 77",
"address_2": "SUITE 200",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751651128",
"telephone_number": "972-923-1686",
"fax_number": "972-937-7731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N HIGHWAY 77",
"address_2": "SUITE 200",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751651128",
"telephone_number": "972-923-1686",
"fax_number": "972-937-7731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRICIELLI",
"first_name": "ELLA",
"middle_name": "VIKTOROVNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN10075",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N7920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8CR652",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280059101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELLA",
"last_name": "AKSENOVA",
"middle_name": "VIKTOROVNA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waxahachie, TX
- Family and Child Guidance Centers (Child and Family Rx - Waxahachie)
- Family and Child Guidance Centers (Child and Family Rx Waxahachie)
- Family Medical & Urgent Care Center PA (Ellis County Back Institute PA)
- Family Rehab Inc (Angels Care Home Health)
- Brandi Farmer, APRN
- Kathlene Michelle Faust, PHARM.D.
- Stephanie Ann Fawcett, DPT
- Margaret Esther Felty, LPC, LMFT
- Krysta Ferguson, RN
- Ferris RSVS PLLC (Adventure Smiles)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.