Individual provider Active NPI

David S Ellman, MD

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
National Provider Identifier
1992818199
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME 65958 Issued in FL
Practice address
9970 Central Park Blvd N
Suite 403
Boca Raton, FL 33428-2231
Phone
(561) 479-2600
Fax
(561) 479-0426
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME 65958 FL Primary

Addresses

Primary practice location

9970 Central Park Blvd N
Suite 403
Boca Raton, FL 33428-2231

Mailing address

9970 Central Park Blvd N
Suite 403
Boca Raton, FL 33428-2231
Phone (561) 479-2600

Other identifiers 1

IdentifierTypeStateIssuer
262956900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.ellman@whobr.eclinicaldirectplus.com Direct Women's Healthcare of Boca Raton

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080325000166 FL Practitioner - Obstetrics/Gynecology 2264518778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albert Einstein College of Medicine of Yeshiva University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

265 B Commercial Blvd
Lauderdale by the Sea, FL 33308-4442
Phone (954) 772-3960

9970 Central Park Blvd N
Suite 403
Boca Raton, FL 33428-2236
Phone (561) 479-2600

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 65958FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Jun 1, 2007 Accepting new patients
Tenet Florida Physician Services LLC Obstetrics & Gynecology Current Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

9970 Central Park Blvd N
Ste 301
Boca Raton, FL 33428
Phone (561) 485-8800

9970 Central Park Blvd N
Ste 403
Boca Raton, FL 33428
Phone (561) 479-2600

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

265B Commercial Blvd
Lauderdale by the Sea, FL 33308
Phone (954) 772-3960

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHAFBD/Endpoint/CHAFBD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1992818199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "SUITE 403",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-479-2600",
            "fax_number": "561-479-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "SUITE 403",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-479-2600",
            "fax_number": "561-479-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLMAN",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 65958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262956900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.ellman@whobr.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Women's Healthcare of Boca Raton",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9970 Central Park Blvd N",
            "address_2": "Suite 403",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334282231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.