DR. RYAN ELLIS DDS
NPI 1235379454
Dentist - Periodontics in Fresno, CA

Q: What is Ryan Ellis's NPI number?

The NPI number for Ryan Ellis is 1235379454. It was assigned to this individual provider in the NPPES registry on February 27, 2009.

Q: What is Ryan Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Ryan Ellis enrolled in Medicare?

No. Ryan Ellis has opted out of Medicare through April 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Ryan Ellis was last updated on February 27, 2009. 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.

Active since February 27, 2009Opted out of Medicare · through Apr 26, 2027

5479 N FRESNO ST STE 104, FRESNO, CA 93710(559) 439-5280 Get Directions Write a Review

NPPES record last updated: February 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ryan Ellis Dds NPPES

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

DR. RYAN ELLIS DDS (NPI 1235379454) is an individual periodontics provider in Fresno, California, licensed in California (53786) and active in the NPI registry since February 2009. He has opted out of Medicare through April 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235379454

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. RYAN ELLISCredential: DDS

Location Address5479 N FRESNO ST STE 104Fresno, CA 93710-8328

Mailing Address1495 10th Ave Apt 3San Francisco, CA 94122-3670 · (415) 420-2824

Phone(559) 439-5280

Sole ProprietorYes

Enumeration DateFebruary 27, 2009

✔ NPI 1235379454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 53786

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

5479 N FRESNO ST STE 104, Fresno, CA 93710

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Ryan Ellis Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 26, 2013 through April 26, 2027.

Opt-Out Effective DateApril 26, 2013

Opt-Out In Effect ThroughApril 26, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93710 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

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

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

JAMES KRATZER MD

Pediatrics

5479 N FRESNO ST STE 104
FRESNO, CA 93710

Fresno County (559) 438-4100

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 Ryan Ellis's NPI number?

The NPI number for Ryan Ellis is 1235379454. It was assigned to this individual provider in the NPPES registry on February 27, 2009.

Where is Ryan Ellis located?

Ryan Ellis practices at 5479 N Fresno St Ste 104, Fresno, CA 93710. The listed phone number is (559) 439-5280.

What is Ryan Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Ryan Ellis enrolled in Medicare?

No. Ryan Ellis has opted out of Medicare through April 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ryan Ellis was last updated on February 27, 2009. 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.