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DR. REUBEN KRISTIAN ELLIS M.D. NPI 1114969110


NPI Information

NPI: 1114969110
Provider Name: DR. REUBEN KRISTIAN ELLIS, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
1425 GEORGIA AVE STE 201A
MACON, GA
ZIP 31201
Phone: (478) 250-1325
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DR. Reuben Kristian Ellis, M.D. is a nephrology internal medicine in Macon, GA with 25 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Reuben Kristian Ellis, M.D. NPI is 1114969110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

1425 GEORGIA AVE STE 201A
MACON, GA
ZIP 31201-546
Phone: (478) 250-1325

The NPI 1114969110 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • Home dialysis services per month, patient 20 years of age or older (HCPCS:90966)
  • Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)
  • Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)

The enumeration date for this NPI number is 6/12/2006 and was last updated on 11/19/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology055819GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1730346684SMEDICAIDGEORGIA
2730346684TMEDICAIDGEORGIA
3730346684UMEDICAIDGEORGIA
4730346684VMEDICAIDGEORGIA
5730346684MMEDICAIDGEORGIA
6730346684NMEDICAIDGEORGIA
7730346684GMEDICAIDGEORGIA
8730346684PMEDICAIDGEORGIA
9730346684JMEDICAIDGEORGIA
10730346684OMEDICAIDGEORGIA
11730346684WMEDICAIDGEORGIA
12730346684XMEDICAIDGEORGIA
13730346684AAMEDICAIDGEORGIA
14730346684ABMEDICAIDGEORGIA
15730346684ACMEDICAIDGEORGIA
16730346684KMEDICAIDGEORGIA
17730346684RMEDICAIDGEORGIA
18730346684ZMEDICAIDGEORGIA
19730346684YMEDICAIDGEORGIA
20730346684ADMEDICAIDGEORGIA
21730346684QMEDICAIDGEORGIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.