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ROBERT E ELLIS MD
NPI 1154465276
Internal Medicine in Louisville, KY

Active since February 20, 2007CLIA 18D0718307 · Waiver
9115 LEESGATE RD, SUITE C, LOUISVILLE, KY 40222(502) 719-0782(502) 719-0787 Get Directions Write a Review

NPPES record last updated: August 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert E Ellis Md NPPES

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

ROBERT E ELLIS MD (NPI 1154465276) is a healthcare organization registered as an internal medicine in Louisville, Kentucky and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Robert E Ellis, President, as its authorized official.

NPPES Registry Identity

NPI1154465276
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameROBERT E ELLIS MD
Location Address9115 LEESGATE RD, SUITE CLouisville, KY 40222-5003
Mailing Address9115 Leesgate Rd, Suite CLouisville, KY 40222-5003 · (502) 719-0782 · Fax (502) 719-0787
Phone(502) 719-0782
Fax(502) 719-0787
Organization SubpartNo
Authorized OfficialRobert E EllisPresident · (502) 719-0782
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 13, 2009
✔ NPI 1154465276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 19194
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9115 LEESGATE RD, Louisville, KY 40222
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Other Identifiers 4

Medicare PIN6141KY
Other2441036000KY · Passport Advantage
OtherCH0800KY · Medicare Rr
Other1172028KY · Passport Health Plan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0718307

Robert E Ellis MD · Louisville, KY
Active · expires Aug 31, 2026
CLIA Number18D0718307
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Robert E. Ellis
Laboratory Phone(502) 719-0782
Laboratory LocationRobert E Ellis MD9115 Leesgate Rd Suite C, Louisville, KY 40222
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. GERLINDA LEIGH LOWREY M.D.
Internal Medicine
9115 LEESGATE RD, SUITE A
LOUISVILLE, KY 40222
Jefferson County (502) 429-8011
MR. ROBERT ELLSWORTH ELLIS M.D.
Internal Medicine
9115 LEESGATE RD, SUITE C
LOUISVILLE, KY 40222
Jefferson County (502) 719-0782
JAMES P EPLEY ARNP
Nurse Practitioner
9115 LEESGATE RD, SUITE A
LOUISVILLE, KY 40222
Jefferson County (502) 429-8011

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 Robert E Ellis MD's NPI number?

The NPI number for Robert E Ellis MD is 1154465276. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Robert E Ellis MD located?

Robert E Ellis MD is located at 9115 Leesgate Rd Suite C, Louisville, KY 40222. The listed phone number is (502) 719-0782.

What is Robert E Ellis MD's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Robert E Ellis MD hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0718307) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Robert E Ellis MD accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Robert E Ellis MD 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 Robert E Ellis MD was last updated on August 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.