JOHN I ELLIS MD
NPI 1053370858
Emergency Medicine in Burlington, VT

Q: What is John Ellis's NPI number?

The NPI number for John Ellis is 1053370858. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Q: What is John Ellis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for John Ellis was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 21, 2006PECOS Enrolled

111 COLCHESTER AVE, MCHV CAMPUS - ED, BURLINGTON, VT 05401(802) 847-3982 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About John I Ellis Md NPPES

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

JOHN I ELLIS MD (NPI 1053370858) is an individual emergency medicine provider in Burlington, Vermont, licensed in Vermont (042.0012393) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053370858

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJOHN I ELLISCredential: MD

Location Address111 COLCHESTER AVE, MCHV CAMPUS - EDBurlington, VT 05401-1473

Mailing Address111 Colchester Ave, Mchv Campus - EdBurlington, VT 05401-1473

Phone(802) 847-3982

Sole ProprietorNo

Enumeration DateMarch 21, 2006

Last NPPES UpdateJuly 19, 2013

✔ NPI 1053370858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in VT · 042.0012393✔ Licensed in NV · 10994

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 10994 (NV)

111 COLCHESTER AVE, Burlington, VT 05401

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Other Identifiers 5

Medicaid100506833NV

Medicare ID-Type UnspecifiedV101365NV

OtherP00232612NV · Railroad Medicare

Medicare UPINE80667NV

OtherCC8994NV · Bc/bs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John I Ellis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 05401 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

$85.89 typical visit price

range $55.80 – $168.48

Typical copayment $21.47 (range $13.95 – $42.12)

Most-billed visit code 99203

Established Patient

$98.40 typical visit price

range $18.08 – $137.84

Typical copayment $24.60 (range $4.52 – $34.46)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELENA KOZAKEWICH

Internal Medicine (Pulmonary Disease)

111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401

Chittenden County (802) 847-2700

RICHARD BOHLING CAROZZA MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)