JOHN WILLIAM ELLIS D.O.
NPI 1285631242
Family Medicine in Glendale, AZ
About John William Ellis D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN WILLIAM ELLIS D.O. (NPI 1285631242) is an individual family medicine provider in Glendale, Arizona, licensed in Arizona (3881) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 12
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John William Ellis D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glendale, AZ 85308
- Reassigned Medicare billing, Arizona enrollment
- 9 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 85308 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLENDALE, AZ 85308
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 John Ellis's NPI number?
The NPI number for John Ellis is 1285631242. It was assigned to this individual provider in the NPPES registry on July 6, 2005.
Where is John Ellis located?
John Ellis practices at 6320 W Union Hills Dr Ste 2800B, Glendale, AZ 85308. The listed phone number is (623) 322-4991.
What is John Ellis's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Ellis enrolled in Medicare?
Yes. John Ellis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Ellis reassigns Medicare benefits to North Valley Family Medicine PC (Glendale, AZ). 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 John Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Ellis accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list John Ellis 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 John Ellis was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# John William Ellis, D.O. · NPI 1285631242
Family Medicine physician in Glendale, Arizona. Individual provider, active in the CMS NPPES registry since July 6, 2005.
## Identity
- **NPI:** 1285631242 (Entity type: Individual)
- **Enumerated:** July 6, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 3881 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 6320 W UNION HILLS DR STE 2800B, Glendale, AZ 85308-1380
- **Phone:** (623) 322-4991 · **Fax:** (623) 322-9568
## 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:** North Valley Family Medicine PC (NPI 1750344347, Glendale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2019
- **Other identifiers:** Other 2Z0278 (AZ); Other 922345 (AZ); Other 5469474 (AZ); and 9 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1285631242) · Data from the CMS NPPES public registry.