RUSSELL L ELLIS MD NPI 1134292766

NPI Information

  • NPI: 1134292766
  • Provider Name: RUSSELL L ELLIS, MD
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1103 16TH AVE SE
    DECATUR, AL
    ZIP 35601
  • Phone: (256) 350-0362

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NPI Details

Russell L Ellis, MD is a sports medicine physical medicine rehabilitation in Decatur, AL with 29 years of experience. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. Russell L Ellis, MD NPI is 1134292766. 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:1997

The provider's business location address is:

1103 16TH AVE SE
DECATUR, AL
ZIP 35601-595
Phone: (256) 350-0362

The NPI 1134292766 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)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS:95886)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Nerve conduction, 5-6 studies (HCPCS:95909)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Nerve conduction, 7-8 studies (HCPCS:95910)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Nerve conduction, 9-10 studies (HCPCS:95911)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • Mri scan of leg joint without contrast (HCPCS:73721)

The enumeration date for this NPI number is 11/15/2006 and was last updated on 7/30/2025.

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
12081S0010XPhysical Medicine & RehabilitationSports Medicine00022020ALABAMAYes

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
1009983450MEDICAIDALABAMA
251507394OTHERALABAMABLUECROSS BLUESHIELD OF A
3260050183OTHERRAILROAD MEDICARE

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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