AMANDA SUSAN ELLINGTON MD NPI 1023219110

NPI Information

  • NPI: 1023219110
  • Provider Name: AMANDA SUSAN ELLINGTON, MD
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2770 3RD AVE STE 120
    LAKE CHARLES, LA
    ZIP 70601
  • Phone: (337) 494-4868

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NPI Details

Amanda Susan Ellington, MD is a surgery in Lake Charles, LA with 19 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Amanda Susan Ellington, MD NPI is 1023219110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:2007

The provider's business location address is:

2770 3RD AVE STE 120
LAKE CHARLES, LA
ZIP 70601-994
Phone: (337) 494-4868
Fax: (337) 494-4870

The NPI 1023219110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Removal of gallbladder using an endoscope (HCPCS:47562)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Biopsy or removal of deep lymph nodes of underarm (HCPCS:38525)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Partial removal of breast (HCPCS:19301)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Imaging of lymph nodes during surgery (HCPCS:38900)
  • Simple complete removal of breast (HCPCS:19303)
  • Removal of central venous tube with port or pump (HCPCS:36590)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)
  • Mastectomy (HCPCS:NAN04)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/29/2007 and was last updated on 6/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery203251LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MD.203251OTHERLOUISIANASTATE MEDICAL LICENSE
21099791MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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