GABRIEL ELLISON MD
NPI 1053055079
Pediatrics in Palo Alto, CA

Q: What is Gabriel Ellison's NPI number?

The NPI number for Gabriel Ellison is 1053055079. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Q: What is Gabriel Ellison's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Gabriel Ellison was last updated on August 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2022PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8979 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2025, Apr 26, 2022 (2 updates tracked since 2022).

On this page

About Gabriel Ellison Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GABRIEL ELLISON MD (NPI 1053055079) is an individual pediatrics provider in Palo Alto, California, licensed in District Of Columbia (MD600004062) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053055079

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameGABRIEL ELLISONCredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8979

Phone(650) 497-8979

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 26, 2022

Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1053055079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in DC · MD600004062

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

725 WELCH RD, Palo Alto, CA 94304

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gabriel Ellison Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688174238

PECOS Enrollment IDI20250829001032

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty