DR. DAVID YEHUDA ELLENBERG M.D. NPI 1063749604

NPI Information

  • NPI: 1063749604
  • Provider Name: DR. DAVID YEHUDA ELLENBERG, M.D.
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 33400 6 MILE RD
    LIVONIA, MI
    ZIP 48152
  • Phone: (734) 421-2020

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NPI Details

DR. David Yehuda Ellenberg, M.D. is a retina specialist ophthalmology in Livonia, MI with 17 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. DR. David Yehuda Ellenberg, M.D. NPI is 1063749604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

33400 6 MILE RD
LIVONIA, MI
ZIP 48152-143
Phone: (734) 421-2020

The NPI 1063749604 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.

  • Imaging of retina (HCPCS:92134)
  • Injection of drug into eye (HCPCS:67028)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Unclassified biologics (HCPCS:J3590)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS:92235)
  • Photography of the retina (HCPCS:92250)
  • Injection, aflibercept, 1 mg (HCPCS:J0178)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Injection, dexamethasone, intravitreal implant, 0.1 mg (HCPCS:J7312)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 11/3/2009 and was last updated on 9/25/2024.

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
1207W00000XOphthalmology4301094251MICHIGANNo
2207WX0107XOphthalmologyRetina Specialist4301094251MICHIGANYes

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: 3/30/2025

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