MR. HENRY DUDLEY ELLINGTON III P.A.C.
NPI 1316921992
Physician Assistant in Phoenix, AZ

Active since December 06, 2005PECOS Enrolled
1701 E THOMAS RD, SUITE A-104, PHOENIX, AZ 85016(888) 381-4858 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Henry Dudley Ellington Iii P.a.c. NPPES

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

MR. HENRY DUDLEY ELLINGTON III P.A.C. (NPI 1316921992) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (5574) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316921992
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. HENRY DUDLEY ELLINGTON IIICredential: P.A.C.
Location Address1701 E THOMAS RD, SUITE A-104Phoenix, AZ 85016-7646
Mailing Address1701 E Thomas Rd, Suite A-104Phoenix, AZ 85016-7646 · (888) 381-4858
Sole ProprietorNo
Enumeration DateDecember 6, 2005
Last NPPES UpdateOctober 17, 2013
NPI 1316921992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in AZ · 5574 Licensed in HI · AMD-132
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1701 E THOMAS RD, Phoenix, AZ 85016

Other Identifiers 1

Medicare PINH101588HI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Henry Dudley Ellington Iii P.a.c. 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 85016 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 20

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

Family Medicine
1701 E THOMAS RD, STE A104
PHOENIX, AZ 85016
Obstetrics & Gynecology (Reproductive Endocrinology)
1701 E THOMAS RD, BUILDING 1 SUITE 101
PHOENIX, AZ 85016
Physician Assistant
1701 E THOMAS RD
PHOENIX, AZ 85016
Physician Assistant
1701 E THOMAS RD, #A104
PHOENIX, AZ 85016
Physician Assistant (Medical)
1701 E THOMAS RD
PHOENIX, AZ 85016
Dentist
1701 E THOMAS RD, SUITE 204
PHOENIX, AZ 85016
Obstetrics & Gynecology (Reproductive Endocrinology)
1701 E THOMAS RD, BUILDING 1 SUITE 101
PHOENIX, AZ 85016
Dentist
1701 E THOMAS RD, STE 204
PHOENIX, AZ 85016

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 Henry Ellington's NPI number?

The NPI number for Henry Ellington is 1316921992. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Henry Ellington located?

Henry Ellington practices at 1701 E Thomas Rd Suite A-104, Phoenix, AZ 85016. The listed phone number is (888) 381-4858.

What is Henry Ellington's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Henry Ellington enrolled in Medicare?

Yes. Henry Ellington is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Henry Ellington was last updated on October 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.