AMY L ELLENBOGEN MD
NPI 1336584101
Radiology - Diagnostic Radiology in Charlottesville, VA
About Amy L Ellenbogen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY L ELLENBOGEN MD (NPI 1336584101) is an individual diagnostic radiology provider in Charlottesville, Virginia, licensed in Virginia (0101266797) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Virginia School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Amy L Ellenbogen 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.
Medicare Billing Reassignments
4Medicare enrollment records show Amy Ellenbogen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scottsdale, AZ 85251
- Reassigned Medicare billing, California enrollment
- 29 clinicians in this Medicare group
Redlands, CA 92373
- Reassigned Medicare billing, California enrollment
- 67 clinicians in this Medicare group
Encino, CA 91436
- Reassigned Medicare billing, California enrollment
- 329 clinicians in this Medicare group
Los Angeles, CA 90025
- Reassigned Medicare billing, California enrollment
- 311 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Amy Ellenbogen's NPI number?
The NPI number for Amy Ellenbogen is 1336584101. It was assigned to this individual provider in the NPPES registry on May 7, 2013.
Where is Amy Ellenbogen located?
Amy Ellenbogen practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-9400.
What is Amy Ellenbogen's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Amy Ellenbogen enrolled in Medicare?
Yes. Amy Ellenbogen 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 organizations bill Medicare for Amy Ellenbogen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Ellenbogen reassigns Medicare benefits to 4 organizations: Smi Imaging, LLC (Scottsdale, AZ), Health Diagnostics Of California A Professional Corporation (Redlands, CA), San Fernando Valley Interventional Radiology And Imaging Center (Encino, CA) and Pronet Imaging Medical Group, Inc. (Los Angeles, CA). Each 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 Amy Ellenbogen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Ellenbogen accept?
Health plans from Blue Cross Blue Shield of Arizona list Amy Ellenbogen 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 Amy Ellenbogen was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Amy L Ellenbogen, MD · NPI 1336584101
Diagnostic Radiology physician in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since May 7, 2013.
## Identity
- **NPI:** 1336584101 (Entity type: Individual)
- **Enumerated:** May 7, 2013
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 0101266797 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 LEE ST, Charlottesville, VA 22908-0816
- **Phone:** (434) 924-9400 · **Fax:** (434) 982-1618
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Smi Imaging, LLC (NPI 1972004489, Scottsdale, AZ); Health Diagnostics Of California A Professional Corporation (NPI 1164053286, Redlands, CA); San Fernando Valley Interventional Radiology And Imaging Center (NPI 1942350889, Encino, CA); Pronet Imaging Medical Group, Inc. (NPI 1528099488, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** July 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1336584101) · Data from the CMS NPPES public registry.