Active NPI
Truitt C Ellis, MD
- Anesthesiology Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 43311
- Practice address
- 110 29TH Ave N Ste 202
Nashville, TN 37203-1448 - Phone
- (615) 327-4304
- Fax
- (615) 327-7940
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 24148 | AL | |
| Specialist | 174400000X | 43311 | TN | |
| Anesthesiology Physician | 207L00000X | 43311 | TN | Primary |
Addresses
Primary practice location
110 29TH Ave N Ste 202
Nashville, TN 37203-1448
Mailing address
110 29TH Ave N Ste 202
Nashville, TN 37203-1448
Phone (615) 327-4304
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009972735 | Medicaid | AL | |
| 009972745 | Medicaid | AL | |
| 08526719 | Medicaid | MS | |
| 3001384 | Medicaid | TN | |
| 7100041490 | Medicaid | KY | |
| 051531876 | Other | AL | BLUE CROSS |
| 051525265 | Other | AL | BLUE CROSS |
| 4169205 | Other | TN | BCBS |
| 051525270 | Other | AL | BLUE CROSS |
| 051525268 | Other | AL | BLUE CROSS |
| 009972755 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- Anesthesiology
- Education
- Vanderbilt University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000
Hospital & facility affiliations
- Tristar Centennial Medical Center
- Williamson Medical Center
- Tristar Summit Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.57 of 100
- Quality
- 59.49
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43311 | TN | MD | Specialist |
| 24148 | AL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Group, PC | Anesthesiology | Current | Accepting new patients |
Locations
2000 Church St
Nashville, TN 37236
Phone (615) 284-4672
110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870
2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Nashville, TN
- NPI 1215932413
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
-
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
-
- General Acute Care Hospital
- Franklin, TN
- NPI 1265445506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249430400000",
"number": "1962446757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 29TH AVE N STE 202",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031448",
"telephone_number": "615-327-4304",
"fax_number": "615-327-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 29TH AVE N STE 202",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031448",
"telephone_number": "615-327-4304",
"fax_number": "615-327-7940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "TRUITT",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2009-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "24148",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "43311",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "43311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009972735",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009972745",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08526719",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3001384",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100041490",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051531876",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051525265",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4169205",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051525270",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051525268",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009972755",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.