TYLER ELLIS MD
NPI 1215597315
Pediatrics in Minneapolis, MN

Q: What is Tyler Ellis's NPI number?

The NPI number for Tyler Ellis is 1215597315. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Q: What is Tyler Ellis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Ellis was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 19, 2019PECOS Enrolled

2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-6000 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2020, Jul 14, 2020, Aug 2, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Tyler Ellis Md NPPES

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

TYLER ELLIS MD (NPI 1215597315) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (67734) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215597315

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameTYLER ELLISCredential: MD

Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518

Mailing Address2525 Chicago AveMinneapolis, MN 55404-4518 · (612) 813-6000

Phone(612) 813-6000

Sole ProprietorNo

Enumeration DateJune 19, 2019

Last NPPES UpdateFebruary 22, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2024

✔ NPI 1215597315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MN · 67734✔ Licensed in MN · 30243

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2525 CHICAGO AVE, Minneapolis, MN 55404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Ellis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55404 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

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

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.

CATHERINE ELAINE MCNAUGHTON LICSW

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