DR. JONATHAN J ELLICHMAN M.D.
NPI 1073538823
Surgery - Vascular Surgery in Memphis, TN

Q: What is Jonathan Ellichman's NPI number?

The NPI number for Jonathan Ellichman is 1073538823. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Jonathan Ellichman's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

6401 POPLAR AVE STE 410, MEMPHIS, TN 38119(901) 259-2718(901) 259-1123 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Jonathan J Ellichman M.d. NPPES

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

DR. JONATHAN J ELLICHMAN M.D. (NPI 1073538823) is an individual vascular surgery provider in Memphis, Tennessee, licensed in Mississippi (18972) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1073538823

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. JONATHAN J ELLICHMANCredential: M.D.

Location Address6401 POPLAR AVE STE 410Memphis, TN 38119-4808

Mailing Address1779 Kirby Pkwy # 1-511Memphis, TN 38138-3666 · (901) 371-5218 · Fax (901) 682-1785

Phone(901) 259-2718

Fax(901) 259-1123

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 13, 2006

Last NPPES UpdateMarch 8, 2016

✔ NPI 1073538823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in MS · 18972

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 39618 (TN)

6401 POPLAR AVE STE 410, Memphis, TN 38119

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Other Identifiers 7

Medicare UPINI49075TN

Medicare PIN30005342TN

Medicaid30005342TN

Medicare PIN302I930090MS

Medicaid165449001AR

Medicaid06336753MS

Medicare PIN5H334AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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. Jonathan J Ellichman M.d. 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.

PECOS PAC ID1759395106

PECOS Enrollment IDI20081021000068

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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Ellichman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Cardiovascular PLLC

Same address

Multi-Specialty

6401 POPLAR AVE STE 410
Memphis, TN 38119

Reassigned Medicare billing, Arkansas and Tennessee enrollments

NPI 1447415104 (901) 259-2718

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 21

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.

Injection, protamine sulfate, per 10 mg J2720

Protamine sulfate injection is a medication used to reverse the effects of heparin, a blood-thinning drug. It's administered in doses of 10 mg, often after surgeries or procedures where heparin was used to prevent blood clots.

188 services36 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

145 services120 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

77 services67 patients

Injection, midazolam hydrochloride, per 1 mg J2250

Midazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).

76 services23 patients

Removal of plaque in artery of leg, initial vessel 37229

This procedure involves removing plaque from the initial vessel in your leg. Plaque, a build-up of fat, cholesterol, and other substances, can block blood flow. The removal process, known as an angioplasty, restores healthy blood circulation in your leg.

63 services37 patients

Infusion, normal saline solution, sterile (500 ml = 1 unit) J7040

An infusion of a normal saline solution is a common medical procedure. Sterile saline (salt water) is administered into your bloodstream via a drip. This helps to maintain fluid balance in your body, especially when you're unable to drink enough liquids.

60 services34 patients

Removal of plaque in artery of leg, each additional vessel 37233

This procedure involves eliminating plaque buildup in your leg arteries to improve blood flow. If more than one vessel is affected, each additional vessel will also be treated in the same session. This can help alleviate symptoms and prevent serious complications.

55 services30 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

46 services44 patients

Injection, cefazolin sodium, 500 mg J0690

Cefazolin sodium is an antibiotic injection used to treat a variety of bacterial infections. By stopping the growth of bacteria, this medication helps in the treatment of infections. The 500 mg dosage refers to the strength of the medicine.

46 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

35 services22 patients

Injection, diphenhydramine hcl, up to 50 mg J1200

Diphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.

35 services24 patients

Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel 37253

An ultrasound evaluation of a blood vessel is a non-invasive procedure that uses sound waves to create images of your blood vessels. A radiologist reviews these images to check for any abnormalities. If additional vessels need reviewing, the process is repeated.

31 services11 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

29 services25 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

28 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Removal of plaque in arteries of leg 37225

This procedure, known as atherectomy, involves clearing out plaque buildup in the leg arteries. Plaque can restrict blood flow, causing discomfort and potential health issues. A special device is inserted into the artery to carefully remove the plaque, improving blood circulation.

24 services17 patients

Removal of plaque and insertion of stents in arteries of leg 37227

This procedure, known as angioplasty, involves a small tube being inserted into your leg artery. The tube has a tiny balloon that inflates to remove plaque blocking the artery. A stent (a small mesh tube) is then placed to keep the artery open, improving blood flow.

17 services11 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

14 services11 patients

Ultrasound evaluation of blood vessel with review by radiologist, initial vessel 37252

This procedure involves using ultrasound, a safe imaging technique, to examine your blood vessels. The images are then reviewed by a radiologist, a doctor specialized in medical imaging. The process helps identify any abnormalities in your initial vessel.

13 services12 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38119 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

85.21

Improvement Activities

Reported Quality Measures

Advance Care Plan

95%402 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

80%92 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

96%622 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

91%127 patients4/55-star benchmark: 100%

Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy

100%418 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

SOUTHERN CARDIOVASCULAR PLLC

Clinic/Center (Multi-Specialty)

6401 POPLAR AVE STE 410
MEMPHIS, TN 38119

Shelby County (901) 259-2718

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 Jonathan Ellichman's NPI number?

The NPI number for Jonathan Ellichman is 1073538823. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Jonathan Ellichman located?

Jonathan Ellichman practices at 6401 Poplar Ave Ste 410, Memphis, TN 38119. The listed phone number is (901) 259-2718.

What is Jonathan Ellichman's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Jonathan Ellichman enrolled in Medicare?

Yes. Jonathan Ellichman 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 Jonathan Ellichman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Ellichman reassigns Medicare benefits to Southern Cardiovascular PLLC (Memphis, TN). 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 Jonathan Ellichman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Ellichman accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Jonathan Ellichman 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 Jonathan Ellichman was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.