Active NPI
James K Ellis, M.D.
- Hematology & Oncology Physician
- Thibodaux, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 021233
- Practice address
- 608 N Acadia Rd
Thibodaux, LA 70301-4847 - Phone
- (985) 449-4642
- Fax
- (985) 449-2560
- NPI assigned
- Oct 10, 2006
- Last updated
- Feb 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 021233 | LA | Primary |
Addresses
Primary practice location
608 N Acadia Rd
Thibodaux, LA 70301-4847
Mailing address
PO Box 5478
Thibodaux, LA 70302-5478
Phone (985) 449-4642
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721245423 | Other | LA | UNITED HEALTHCARE |
| 1932205 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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
- Hematology/Oncology
- Education
- Louisiana State University School of Medicine in New Orleans, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2121 Ridgelake Dr
FL 4
Metairie, LA 70001-2080
Phone (504) 885-0577
4204 Houma Blvd
FL 2
Metairie, LA 70006-2903
Phone (504) 883-2968
Hospital & facility affiliations
- Southern Grace Hospice
- Touro Infirmary
- East Jefferson General Hospital
- West Jefferson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.25 of 100
- Quality
- 71.6
- Improvement activities
- 40
- Cost
- 72.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021233 | LA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| New Orleans Physician Services Inc | Hematology & Oncology | Current | Accepting new patients |
| Crescent City Physicians, Inc. | Current | Accepting new patients | |
| East Jefferson Physicians Group LLC | Current | Accepting new patients | |
| Tri Parish Pet Scans | Past | Accepting new patients | |
| Inphynet Primary Care Physicians Southeast PC | Past | Accepting new patients | |
| Metairie Physician Services Inc. | Hematology & Oncology | Past | Accepting new patients |
| Touro Infirmary | Past | Accepting new patients |
Locations
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
4513 Westbank Expy
Marrero, LA 70072
Phone (504) 349-6360
2121 Ridgelake Dr
Fl 4
Metairie, LA 70001
Phone (504) 885-0577
4204 Houma Blvd
Ste 2
Metairie, LA 70006
Phone (504) 503-5426
4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415
4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109
100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929
1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011
2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158
3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197
602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544
Interoperability endpoints
- jellis@trmc.direct.varian.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1689722340
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1922293372
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1396169678
Hematology & Oncology
-
- Anesthesiology Physician
- Thibodaux, LA
- NPI 1285658310
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1801233648
Hematology & Oncology
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
-
- Nuclear Radiology Physician
- Houma, LA
- NPI 1477674083
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1770521460
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Hammond, LA
- NPI 1093522245
-
- Rehabilitation Hospital Unit
- New Orleans, LA
- NPI 1588817878
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
-
dba West Jefferson Medical Center
- General Acute Care Hospital
- Marrero, LA
- NPI 1265437644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1982792750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5478",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703025478",
"telephone_number": "985-449-4642",
"fax_number": "985-449-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 N ACADIA RD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014847",
"telephone_number": "985-449-4642",
"fax_number": "985-449-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "JAMES",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "LA",
"license": "021233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "721245423",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932205",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.