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IRA KEITH ELLIS MD NPI 1922005388


NPI Information

NPI: 1922005388
Provider Name: IRA KEITH ELLIS, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
2084 W MAIN ST
MILAN, TN
ZIP 38358
Phone: (615) 673-6737
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Ira Keith Ellis, MD is an addiction medicine family medicine in Milan, TN with 22 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Ira Keith Ellis, MD NPI is 1922005388. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

2084 W MAIN ST
MILAN, TN
ZIP 38358-515
Phone: (615) 673-6737

The NPI 1922005388 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.

  • Testing for presence of drug (HCPCS:80305)

The enumeration date for this NPI number is 6/30/2005 and was last updated on 1/10/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine38294TENNESSEENo
2207QA0401XFamily MedicineAddiction Medicine38294TENNESSEEYes

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
134018OTHERTENNESSEETLC
2626001636OTHERTENNESSEEUNITED HEALTHCARE
34101718OTHERTENNESSEEBLUE CROSS BLUE SHIELD
45657408OTHERTENNESSEECIGNA
53823013MEDICAIDTENNESSEE
6626001636OTHERTENNESSEEUSA MANAGED CARE
7P00277818OTHERTENNESSEERAILROAD MEDICARE
84124210OTHERBCBS
9626001636OTHERTENNESSEEHEALTH PARTNERS
10166981OTHERTENNESSEEUNISON
113895527MEDICAIDTENNESSEE

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.