Individual provider Active NPI

Madeline Elizabeth Eells, MD

  • Obstetrics & Gynecology Physician
  • Tuba City, AZ
National Provider Identifier
1972965622
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
59566 Issued in AZ
Practice address
167 N Main St
Tuba City, AZ 86045-0600
Phone
(928) 283-2501
Fax
(602) 604-4607
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200804001489 TX Practitioner - Obstetrics/Gynecology 3375968688 Reassigns benefits to 1 organization
I20250529003928 CA Practitioner - Obstetrics/Gynecology 3375968688 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Jul 20, 2020 Accepting new patients
Contra Costa County CurrentSince May 20, 2025 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Jul 20, 2020 Accepting new patients
Contra Costa County Current Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations

3052 Willow Pass Rd
Concord, CA 94519
Phone (925) 681-4100

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

Interoperability endpoints

  • Direct secure messaging: meells123247@direct.valleywisehealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 59566 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

167 N Main St
Tuba City, AZ 86045-0600

Mailing address

PO Box 600
Tuba City, AZ 86045-0600
Phone (928) 283-2501

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2020.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1972965622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860450600",
            "telephone_number": "928-283-2501",
            "fax_number": "602-604-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 N MAIN ST",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860450600",
            "telephone_number": "928-283-2501",
            "fax_number": "602-604-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EELLS",
        "first_name": "MADELINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "59566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuba City, AZ

Sources for this page

Verify at the official NPI Registry.