JOHN M ELLIS MD NPI 1962464818

NPI Information

  • NPI: 1962464818
  • Provider Name: JOHN M ELLIS, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1656 CHAMPLIN AVE
    UTICA, NY
    ZIP 13502
  • Phone: (315) 624-6116

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NPI Details

John M Ellis, MD is a diagnostic radiology radiology in Utica, NY with 34 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. John M Ellis, MD NPI is 1962464818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:1992

The provider's business location address is:

1656 CHAMPLIN AVE
UTICA, NY
ZIP 13502-830
Phone: (315) 624-6116

The NPI 1962464818 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.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Injection, gadoxetate disodium, 1 ml (HCPCS:A9581)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 3d radiographic procedure (HCPCS:76376)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 3d radiographic procedure (HCPCS:76376)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Nuclear medicine study of bone taken at different times (HCPCS:78315)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • X-ray of foot, 2 views (HCPCS:73620)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of soft tissue of neck without contrast (HCPCS:70490)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)

The enumeration date for this NPI number is 4/5/2006 and was last updated on 10/15/2025.

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
12085R0202XRadiologyDiagnostic Radiology209356NEW YORKYes

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
1P010209356OTHERNEW YORKBCBS
2300099765OTHERNEW YORKRAIL ROAD MEDICARE
301874611MEDICAIDNEW YORK
44199650OTHERNEW YORKGHI
5040426013962OTHERNEW YORKFIDELIS
6960976OTHERNEW YORKMVP
7209356-1OTHERNEW YORKWC
810037625OTHERNEW YORKCDPHP

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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