John M Ellis, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

209356 Issued in NY

Practice address

1656 Champlin Ave
Utica, NY 13502-4830

Phone

(315) 624-6116

NPI assigned

Apr 5, 2006

Last updated

Oct 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in NY, SC, FL, OH, NC, NJ6 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 6

Specialty

Diagnostic Radiology

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Cmi Professional ServicesGroup PAC ID 2466419718, 13 clinicians

Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians

Radiology Associates of New Hartford LLPGroup PAC ID 6002807831, 21 clinicians

Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians

Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians

Colonial Family Practice LLCGroup PAC ID 9931017118, 58 clinicians

Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Millennium Medical Imaging PCGroup PAC ID 5799776910, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wynn Hospital Hospital, Utica, NY, CCN 330044
• St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
• Our Lady of Lourdes Memorial Hospital, Inc Hospital, Binghamton, NY, CCN 330011
• Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332
• Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 58)

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIHIBD
• Direct secure messaging: jellis26402@direct.xtensys.com
• Direct secure messaging: john.ellis.p1@direct.beaconortho.nextgenshare.com

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.

• Cmi Professional Services

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Utica, NY
  • NPI 1790701167
  Medicare reassignment Care Compare group NPD
• Empire State Radiology P C

  • Diagnostic Radiology Physician
  • West Islip, NY
  • NPI 1255962783
  Medicare reassignment Care Compare group NPD
• Millennium Medical Imaging PC

  • Diagnostic Radiology Physician
  • Saratoga Springs, NY
  • NPI 1235114182
  Medicare reassignment Care Compare group NPD
• Radiology Associates of New Hartford LLP

  • Diagnostic Radiology Physician
  • Utica, NY
  • NPI 1356387294
  Medicare reassignment Care Compare group NPD
• Beacon Orthopaedics & Sports Medicine, LTD

  dba OrthoAlliance of Ohio

  • Specialist
  • Cincinnati, OH
  • NPI 1386670065
  Medicare reassignment Care Compare group NPD
• Colonial Family Practice, LLC

  dba Colonial Family Practice

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1518074640
  Medicare reassignment Care Compare group NPD
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment Care Compare group NPD (past)
• Wilmington Health PLLC

  • Multi-Specialty Clinic/Center
  • Wilmington, NC
  • NPI 1881632339
  Medicare reassignment Care Compare group
• MVHS Inc

  dba Mohawk Valley Health System Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737
  Medicare reassignment NPD
• St. Francis Cardiac Prevention Services PC

  dba St. Francis Diagnostic

  • Diagnostic Radiology Physician
  • Melville, NY
  • NPI 1376952804
  Medicare reassignment NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment NPD
• CHS Physician Partners, PC

  dba Cardiac Interventional Group

  • Interventional Cardiology Physician
  • Fresh Meadows, NY
  • NPI 1407089345
  Medicare reassignment

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

• Mercy Medical Center

  • Psychiatric Hospital Unit
  • Rockville Centre, NY
  • NPI 1427017854
  Care Compare affiliation
• Mercy Medical Center

  • Rehabilitation Hospital Unit
  • Rockville Centre, NY
  • NPI 1598724924
  Care Compare affiliation
• Mercy Medical Center

  • General Acute Care Hospital
  • Rockville Centre, NY
  • NPI 1659330173
  Care Compare affiliation
• MVHS Inc

  dba Wynn Hospital

  • General Acute Care Hospital
  • Utica, NY
  • NPI 1205877172
  Care Compare affiliation
• Our Lady of Lourdes Memorial Hospital Inc.

  dba Lourdes

  • General Acute Care Hospital
  • Binghamton, NY
  • NPI 1629087580
  Care Compare affiliation
• St. Francis Hospital

  • General Acute Care Hospital
  • Roslyn, NY
  • NPI 1043279565
  Care Compare affiliation
• Wsnchs North, Inc.

  dba St. Joseph Hospital

  • General Acute Care Hospital
  • Bethpage, NY
  • NPI 1013998426
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1962464818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 GENESEE ST STE 600",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012110",
            "telephone_number": "315-793-8806",
            "fax_number": "315-793-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-624-6116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Genesee St",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135012199",
            "country_code": "US",
            "telephone_number": "315-793-8806",
            "fax_number": "315-793-8046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13813 METRO PKWY",
            "address_purpose": "LOCATION",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124343",
            "country_code": "US",
            "telephone_number": "855-674-4624",
            "fax_number": "941-883-8386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "209356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P010209356",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "300099765",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01874611",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4199650",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426013962",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "960976",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC",
            "identifier": "209356-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10037625",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Elefante, R.N.
• Nader Zaki Elgharib, M.D.
• Ibrahim Shawki Elkilany, MD
• Marie Elliott
• Ellis Chiropractic Group
• Valerie Ellis, DC
• Cheryl Ellsworth
• Ahmed Elramsisy, MD
• Christopher Emerson, RPA C
• Empire Vision Center Inc (Empire Vision Centers)

• Diagnostic Radiology Physician in Utica, NY
• Providers in Utica, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.