DR. ELLIS JOHN CIVELLO JR. MD
NPI 1063507432
Psychiatry & Neurology - Psychiatry in Center Point, TX
About Dr. Ellis John Civello Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELLIS JOHN CIVELLO JR. MD (NPI 1063507432) is an individual psychiatry provider in Center Point, Texas, licensed in Texas (G7046) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1981).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Ellis John Civello Jr. Md 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 Ellis Civello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78249
- Reassigned Medicare billing, Texas enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ellis Civello's NPI number?
The NPI number for Ellis Civello is 1063507432. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Ellis Civello located?
Ellis Civello practices at 230 Mesa Verde Dr E, Center Point, TX 78010. The listed phone number is (830) 460-6655.
What is Ellis Civello's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Ellis Civello enrolled in Medicare?
Yes. Ellis Civello 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 Ellis Civello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellis Civello reassigns Medicare benefits to Andala Medical Texas PA (San Antonio, TX). 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 Ellis Civello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellis Civello accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and WellPoint list Ellis Civello 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 Ellis Civello was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Dr. Ellis John Civello Jr., MD · NPI 1063507432
Psychiatry physician in Center Point, Texas. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1063507432 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** G7046 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 230 MESA VERDE DR E, Center Point, TX 78010-3548
- **Phone:** (830) 460-6655
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Andala Medical Texas PA (NPI 1386224137, San Antonio, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At San Antonio, class of 1981
## Record status
- **NPPES last updated:** December 15, 2025
- **Other identifiers:** Medicaid 139933924 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1063507432) · Data from the CMS NPPES public registry.