JOHN P ELLIS DPM
NPI 1043384795
Podiatrist in Fairview Park, OH
About John P Ellis Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN P ELLIS DPM (NPI 1043384795) is an individual podiatrist in Fairview Park, Ohio, licensed in Ohio (36002463E) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John P Ellis Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairview Park, OH 44126
- Reassigned Medicare billing, Ohio enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 16
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Ellis's NPI number?
The NPI number for John Ellis is 1043384795. It was assigned to this individual provider in the NPPES registry on November 17, 2006.
Where is John Ellis located?
John Ellis practices at 21992 Lorain Rd, Fairview Park, OH 44126. The listed phone number is (440) 333-7300.
What is John Ellis's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is John Ellis enrolled in Medicare?
Yes. John Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Ellis reassigns Medicare benefits to Dr John P Ellis Clinic Podiatry LLC (Fairview Park, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Ellis accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list John Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Ellis was last updated on January 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John P Ellis, DPM · NPI 1043384795
Podiatrist provider in Fairview Park, Ohio. Individual provider, active in the CMS NPPES registry since November 17, 2006.
## Identity
- **NPI:** 1043384795 (Entity type: Individual)
- **Enumerated:** November 17, 2006
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **State license:** 36002463E (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 21992 LORAIN RD, Fairview Park, OH 44126-3333
- **Phone:** (440) 333-7300 · **Fax:** (440) 995-1234
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Dr John P Ellis Clinic Podiatry LLC (NPI 1972777928, Fairview Park, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kent State University College Of Podiatric Medicine, class of 1986
## Record status
- **NPPES last updated:** January 23, 2015
- **Other identifiers:** Medicare PIN 0607228 (OH); Medicare UPIN T80656; Medicare NSC 6097820001; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1043384795) · Data from the CMS NPPES public registry.