DR. ZACHARY DIMITRI ELLIS DO
NPI 1124778873
Internal Medicine in Tupelo, MS
About Dr. Zachary Dimitri Ellis Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ZACHARY DIMITRI ELLIS DO (NPI 1124778873) is an individual internal medicine provider in Tupelo, Mississippi, licensed in Mississippi (33630) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of William Carey University College Of Osteopathic Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Zachary Dimitri Ellis Do 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Mississippi Medical Center
Acute Care Hospitals · Tupelo, MSBaptist Memorial Hospital North Ms
Acute Care Hospitals · Oxford, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TUPELO, MS 38801
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 Zachary Ellis's NPI number?
The NPI number for Zachary Ellis is 1124778873. It was assigned to this individual provider in the NPPES registry on March 25, 2022.
Where is Zachary Ellis located?
Zachary Ellis practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-2539.
What is Zachary Ellis's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Zachary Ellis enrolled in Medicare?
Yes. Zachary 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.
What insurance does Zachary Ellis accept?
Health plans from Blue Cross and Blue Shield of Alabama list Zachary 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.
Is Zachary Ellis affiliated with any hospitals?
According to CMS data, Zachary Ellis is affiliated with North Mississippi Medical Center and Baptist Memorial Hospital North Ms.
When was this NPI record last updated?
The NPPES record for Zachary Ellis was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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. Zachary Dimitri Ellis, DO · NPI 1124778873
Internal Medicine physician in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since March 25, 2022.
## Identity
- **NPI:** 1124778873 (Entity type: Individual)
- **Enumerated:** March 25, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 33630 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 830 S GLOSTER ST, Tupelo, MS 38801-4996
- **Phone:** (662) 377-2539 · **Fax:** (662) 377-2920
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** William Carey University College Of Osteopathic Medicine, class of 2022
## Record status
- **NPPES last updated:** July 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124778873) · Data from the CMS NPPES public registry.