Individual provider Active NPI

James K Ellis, M.D.

  • Hematology & Oncology Physician
  • Thibodaux, LA
National Provider Identifier
1982792750
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
021233 Issued in LA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
721245423OtherLAUNITED HEALTHCARE
1932205MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000451 LA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 1850292038 Reassigns benefits to 3 organizations

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
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
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

LicenseStateTypeSpecialty
021233LAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
New Orleans Physician Services Inc Hematology & Oncology CurrentSince Jan 1, 2018 Accepting new patients
Crescent City Physicians, Inc. CurrentSince Oct 14, 2021 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince May 1, 2023 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 PastSince Oct 14, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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

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

Verify at the official NPI Registry.