TYLER ELLIS MD
NPI 1215597315
Pediatrics in Minneapolis, MN
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tyler Ellis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tyler Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Children's Health Care
- 551 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.
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.
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.
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
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 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.
Where is Tyler Ellis located?
Tyler Ellis practices at 2525 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (612) 813-6000.
What is Tyler Ellis's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Tyler Ellis enrolled in Medicare?
Yes. Tyler Ellis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tyler Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Ellis reassigns Medicare benefits to Childrens Health Care (Minneapolis, MN). 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 Tyler 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 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.
# Tyler Ellis, MD · NPI 1215597315
Pediatrics physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 19, 2019.
## Identity
- **NPI:** 1215597315 (Entity type: Individual)
- **Enumerated:** June 19, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 67734 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2525 CHICAGO AVE, Minneapolis, MN 55404-4518
- **Phone:** (612) 813-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Childrens Health Care (NPI 1053410928, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1215597315) · Data from the CMS NPPES public registry.