NPI Details
MR. Robert Ellsworth Ellis, M.D. is an internal medicine in Louisville, KY with 50 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MR. Robert Ellsworth Ellis, M.D. NPI is 1427006816. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:1976
The provider's business location address is:
9115 LEESGATE RD
SUITE C
LOUISVILLE, KY
ZIP 40222-003
Phone: (502) 719-0782
Fax: (502) 719-0787
The NPI 1427006816 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 CLIA number assigned to this NPI record is 18D0718307 - physician office with a certificate type of Certificate of Waiver.
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, 30-39 minutes (HCPCS:99214)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Removal of impacted ear wax (HCPCS:69210)
- Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
- Hospital discharge day management, more than 30 minutes (HCPCS:99239)
- Automated urinalysis test (HCPCS:81003)
The enumeration date for this NPI number is 5/5/2006 and was last updated on 8/13/2009.
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 |
| 1 | 207R00000X | Internal Medicine | | 19194 | KENTUCKY | Yes |
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 |
| 1 | 1058692 | OTHER | KENTUCKY | PASSPORT |
| 2 | 2433985000 | OTHER | KENTUCKY | PASSPORT ADVANTAGE |
| 3 | 110000678 | OTHER | KENTUCKY | MEDICARE RR |
| 4 | C71809 | MEDICARE UPIN | | |
| 5 | 64191943 | MEDICAID | KENTUCKY | |
| 6 | 000000047003 | OTHER | KENTUCKY | ANTHEM |
| 7 | 0614101 | MEDICARE PIN | KENTUCKY | |
