MICHAEL S ELLIS M.D.
NPI 1366975088
Pediatrics in Salt Lake City, UT

Active since April 10, 2017PECOS Enrolled
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-5700 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2018, Oct 5, 2018, Apr 10, 2017 (3 updates tracked since 2017).

About Michael S Ellis M.d. NPPES

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

MICHAEL S ELLIS M.D. (NPI 1366975088) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (10957049-1205) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366975088
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMICHAEL S ELLISCredential: M.D.
Location Address81 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1125
Mailing Address81 N Mario Capecchi DrSalt Lake City, UT 84113-1125 · (801) 662-5700
Sole ProprietorYes
Enumeration DateApril 10, 2017
Last NPPES UpdateOctober 10, 20183 updates tracked since enumeration
NPI 1366975088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in UT · 10957049-1205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
81 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael S Ellis M.d. 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 84113 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
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.

Anesthesiology
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Allergy/Immunology)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Hospitalist
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Family)
81 N MARIO CAPECCHI DR
SLC, UT 84113
Social Worker (Clinical)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Family)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Student in an Organized Health Care Education/Training Program
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

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 Michael Ellis's NPI number?

The NPI number for Michael Ellis is 1366975088. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Michael Ellis located?

Michael Ellis practices at 81 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5700.

What is Michael Ellis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michael Ellis enrolled in Medicare?

Yes. Michael Ellis is registered in the Medicare PECOS enrollment system.

What insurance does Michael Ellis accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Michael 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 Michael Ellis was last updated on October 10, 2018. 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.