DR. EUGENE ELLIS MD
NPI 1194721142
Specialist in Brooklyn, NY
About Dr. Eugene Ellis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EUGENE ELLIS MD (NPI 1194721142) is an individual specialist in Brooklyn, New York, licensed in New York (136939-1) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of New York University Medical College - Nlg (1981).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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. Eugene Ellis 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 Reassignments
3Medicare enrollment records show Eugene Ellis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 1,177 clinicians in this Medicare group
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 43 clinicians in this Medicare group
Sayre, PA 18840
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Guthrie Medical Group PC
- 798 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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Eugene Ellis's NPI number?
The NPI number for Eugene Ellis is 1194721142. It was assigned to this individual provider in the NPPES registry on June 23, 2005.
Where is Eugene Ellis located?
Eugene Ellis practices at 967 48th St, Brooklyn, NY 11219. The listed phone number is (718) 283-3000.
What is Eugene Ellis's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Eugene Ellis enrolled in Medicare?
Yes. Eugene 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.
Which organizations bill Medicare for Eugene Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eugene Ellis reassigns Medicare benefits to 3 organizations: Maimonides Faculty Practice Plan (Brooklyn, NY), Nsuh Plainview Physicians Ufp Corporation (New York, NY) and Guthrie Medical Group, P.C. (Sayre, PA). Each 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 Eugene Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eugene Ellis was last updated on December 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Eugene Ellis, MD · NPI 1194721142
Specialist provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since June 23, 2005.
## Identity
- **NPI:** 1194721142 (Entity type: Individual)
- **Enumerated:** June 23, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 136939-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 967 48TH ST, Brooklyn, NY 11219-2919
- **Phone:** (718) 283-3000 · **Fax:** (718) 238-6818
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Maimonides Faculty Practice Plan (NPI 1053344846, Brooklyn, NY); Nsuh Plainview Physicians Ufp Corporation (NPI 1508750332, New York, NY); Guthrie Medical Group, P.C. (NPI 1245246644, Sayre, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York University Medical College - Nlg, class of 1981
## Record status
- **NPPES last updated:** December 8, 2008
- **Other identifiers:** Medicare ID-Type Unspecified 62A621 (NY); Medicare UPIN B78347 (NY); Medicaid 01862853 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1194721142) · Data from the CMS NPPES public registry.