1. Home
  2. Directory
  3. Arizona
  4. Gilbert
  5. Pediatrics
  6. NPI Profile

ERIK G ELLSWORTH MD
NPI 1306826896
Pediatrics - Pediatric Cardiology in Gilbert, AZ

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
1501 N GILBERT RD STE 203, GILBERT, AZ 85234(602) 933-3366(602) 933-4264 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Erik G Ellsworth Md NPPES

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

ERIK G ELLSWORTH MD (NPI 1306826896) is an individual pediatric cardiology provider in Gilbert, Arizona, licensed in Arizona (41569) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Mayo Medical School (2003).

NPPES Registry Identity

NPI1306826896
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameERIK G ELLSWORTHCredential: MD
Location Address1501 N GILBERT RD STE 203Gilbert, AZ 85234-2394
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1815
Phone(602) 933-3366
Fax(602) 933-4264
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 2003
Enumeration DateJanuary 19, 2006
Last NPPES UpdateSeptember 18, 2018
✔ NPI 1306826896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in AZ · 41569
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1501 N GILBERT RD STE 203, Gilbert, AZ 85234
Open in Google Maps ↗

Other Identifiers 1

Medicaid404994AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and more.Insurance ›

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

Erik G Ellsworth 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.

PECOS PAC ID6103893813
PECOS Enrollment IDI20090406000533
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.

Medicare Billing Reassignment

Medicare enrollment records show Erik Ellsworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Medical Group
4.1 mi
Multi-Specialty
5131 E SOUTHERN AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group
NPI 1487814240 (602) 933-0002

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Erik Ellsworth's NPI number?

The NPI number for Erik Ellsworth is 1306826896. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Erik Ellsworth located?

Erik Ellsworth practices at 1501 N Gilbert Rd Ste 203, Gilbert, AZ 85234. The listed phone number is (602) 933-3366.

What is Erik Ellsworth's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Erik Ellsworth enrolled in Medicare?

Yes. Erik Ellsworth 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 organization bills Medicare for Erik Ellsworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik Ellsworth reassigns Medicare benefits to Phoenix Children's Medical Group (Mesa, 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 Erik Ellsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erik Ellsworth accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. list Erik Ellsworth 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 Erik Ellsworth was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.