Active NPI
Ellen E Bellairs, M.D.
- Radiation Oncology Physician
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 39298
- 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.
-
- Radiation Oncology Physician
- Fort Myers, FL
- NPI 1134109747
FL, Radiation Oncology
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1528035995
MN, Radiation Oncology, WI
-
- Hematology & Oncology Physician
- Plymouth, MN
- NPI 1235498619
Radiation Oncology
-
- Community/Retail Pharmacy
- Maple Grove, MN
- NPI 1811601123
-
- Medical Oncology Physician
- Boynton Beach, FL
- NPI 1386012615
-
- Urology Physician
- Boca Raton, FL
- NPI 1649093709
-
- Radiation Oncology Physician
- Edina, MN
- NPI 1043204233
Radiation Oncology
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1205606316
Radiation Oncology
-
- Radiation Oncology Physician
- Saint Paul, MN
- NPI 1598305427
Radiation Oncology
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1609911205
Radiation Oncology
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.19 of 100
- Quality
- 72.34
- Promoting interoperability
- 98
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 39298 | MN | MD | Radiation Oncology Physician |
Practice roles (10 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Radiation Oncology | Current | Accepting new patients |
| Minnesota Oncology Hematology, PA | Radiation Oncology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Minnesota Oncology Hematology PA | Radiation Oncology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Minnesota Oncology Hematology PA | Current | 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 | Past | Accepting new patients |
| Minnesota Oncology Hematology PA | Radiation Oncology | Past | 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
- ellen.bellairs@moh.ikm.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 39298 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP34893 | Other | MN | HEALTHPARTNERS |
| 1241604 | Other | MN | AMERICA'S PPO |
| 151583 | Other | MN | UCARE MN |
| 084K3BE | Other | MN | BCBS MN |
| 34065500 | Medicaid | WI | |
| 1027080 | Other | MN | PREFERRED ONE |
| 2400114 | Other | MN | MEDICA |
| 412702100 | Medicaid | MN |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.