Individual provider Active NPI

Ellen E Bellairs, M.D.

  • Radiation Oncology Physician
  • Maplewood, MN
National Provider Identifier
1952378044
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
39298 Issued in MN
Practice address
1580 Beam Ave
Maplewood, MN 55109-1127
Phone
(651) 779-7978
Fax
(651) 779-7656
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Baylor College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLC 172 clinicians

Practice addresses (Care Compare)

8991 Brighton LN
Bonita Springs, FL 34135-7505
Phone (239) 949-3130

Hospital & facility affiliations

  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220

Merit-based Incentive Payment System (MIPS)

Final score
89.19 of 100Reported as apm
Quality
72.34
Promoting interoperability
98
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, 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
I20040405000012 MN Practitioner - Radiation Oncology 6608869086 Reassigns benefits to 1 organization
I20240328000136 WI Practitioner - Radiation Oncology 6608869086 Reassigns benefits to 1 organization
I20250219000548 FL Practitioner - Radiation Oncology 6608869086 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39298MNMDRadiation Oncology Physician

Practice roles (10 of 12)

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Radiation Oncology Current Accepting new patients
Minnesota Oncology Hematology, PA Radiation Oncology CurrentSince Feb 14, 2024 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Mar 1, 2025 Accepting new patients
Minnesota Oncology Hematology PA Radiation Oncology CurrentSince Jul 7, 2003 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Mar 1, 2025 Accepting new patients
Minnesota Oncology Hematology PA CurrentSince Jul 7, 2003 Accepting new patients
Minneapolis Radiation Oncology PA Radiation Oncology Past Accepting new patients
Minnesota Oncology Hematology, PA Radiation Oncology Past Accepting new patients
Minnesota Oncology Hematology, PA Radiation Oncology PastSince Jan 12, 2020 Accepting new patients
Minnesota Oncology Hematology PA Radiation Oncology PastSince Jan 14, 2024 Accepting new patients

Locations (25 of 26)

8991 Brighton Ln
Bonita Springs, FL 34135
Phone (239) 593-3030

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

1419 SE 8th Ter
Ste 200
Cape Coral, FL 33990

4571 Colonial Blvd
Ste 100
Fort Myers, FL 33966
Phone (239) 333-0995

8925 Colonial Center Dr
Ste 1001
Fort Myers, FL 33905
Phone (239) 343-5864

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

8931 Colonial Center Dr
Ste 100
Fort Myers, FL 33905
Phone (239) 226-2727

7341 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 489-3219

1120 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 369-6295

1175 Paysphere Cir
Chicago, IL 60674

675 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516

110105 Pioneer Trl W
Ste 302
Chaska, MN 55318
Phone (952) 361-5800

10150 Niagara Ln N
#100
Maple Grove, MN 55369
Phone (763) 220-1316

910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300

480 Osborne Rd NE
Ste 220
Minneapolis, MN 55432
Phone (763) 786-1620

11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100

6545 France Ave S
Ste 210
Minneapolis, MN 55435
Phone (952) 928-2900

2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

2550 University Ave W
Ste 105N
Saint Paul, MN 55114
Phone (651) 602-5335

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480

2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309

560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006

6025 Lake Rd
Ste 110
Woodbury, MN 55125
Phone (651) 735-7414

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ellen.bellairs@moh.ikm.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 39298 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

1580 Beam Ave
Maplewood, MN 55109-1127

Mailing address

1580 Beam Ave
Maplewood, MN 55109-1127
Phone (651) 779-7978

Other identifiers 8

NPPES NPI Registry
IdentifierTypeStateIssuer
HP34893OtherMNHEALTHPARTNERS
1241604OtherMNAMERICA'S PPO
151583OtherMNUCARE MN
084K3BEOtherMNBCBS MN
34065500MedicaidWI
1027080OtherMNPREFERRED ONE
2400114OtherMNMEDICA
412702100MedicaidMN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2011.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1952378044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091127",
            "telephone_number": "651-779-7978",
            "fax_number": "651-779-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091127",
            "telephone_number": "651-779-7978",
            "fax_number": "651-779-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAIRS",
        "first_name": "ELLEN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MN",
            "license": "39298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP34893",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "1241604",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN",
            "identifier": "151583",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "084K3BE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34065500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1027080",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2400114",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412702100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.