KELVIN ELLIS JR. D.O.
NPI 1407340441
Emergency Medicine in Zachary, LA
About Kelvin Ellis Jr. D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELVIN ELLIS JR. D.O. (NPI 1407340441) is an individual emergency medicine provider in Zachary, Louisiana, licensed in Louisiana (346884) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and maintains a secondary practice location in Altoona.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Kelvin Ellis Jr. D.o. 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 Kelvin Ellis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Alexandria, LA 71301
- Reassigned Medicare billing, Louisiana enrollment
- 178 clinicians in this Medicare group
Lufkin, TX 75904
- Reassigned Medicare billing, Louisiana enrollment
- 101 clinicians in this Medicare group
Hopkinsville, KY 42240
- Reassigned Medicare billing, Kentucky enrollment
- 36 clinicians in this Medicare group
Williamsville, NY 14221
- Reassigned Medicare billing, New York enrollment
- 195 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 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jennie Stuart Medical Center
Acute Care Hospitals · Hopkinsville, KYLane Regional Medical Center
Acute Care Hospitals · Zachary, LASlidell Memorial Hospital
Acute Care Hospitals · Slidell, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70791 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ZACHARY, LA 70791
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 Kelvin Ellis's NPI number?
The NPI number for Kelvin Ellis is 1407340441. It was assigned to this individual provider in the NPPES registry on June 21, 2018.
Where is Kelvin Ellis located?
Kelvin Ellis practices at 6300 Main St, Zachary, LA 70791. The listed phone number is (225) 658-4316.
What is Kelvin Ellis's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kelvin Ellis enrolled in Medicare?
Yes. Kelvin Ellis 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 Kelvin Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelvin Ellis reassigns Medicare benefits to 4 organizations: Acs Primary Care Physicians Louisiana PC (Alexandria, LA), Vincent Emergency Group, LLC (Lufkin, TX), Fep Of Kentucky LLC (Hopkinsville, KY) and Buffalo Emergency Associates LLP (Williamsville, NY). 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 Kelvin Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelvin Ellis affiliated with any hospitals?
According to CMS data, Kelvin Ellis is affiliated with Jennie Stuart Medical Center, Lane Regional Medical Center and Slidell Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kelvin Ellis was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Kelvin Ellis Jr., D.O. · NPI 1407340441
Emergency Medicine physician in Zachary, Louisiana. Individual provider, active in the CMS NPPES registry since June 21, 2018.
## Identity
- **NPI:** 1407340441 (Entity type: Individual)
- **Enumerated:** June 21, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 346884 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 6300 MAIN ST, Zachary, LA 70791-4037
- **Phone:** (225) 658-4316
## 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): Acs Primary Care Physicians Louisiana PC (NPI 1306889092, Alexandria, LA); Vincent Emergency Group, LLC (NPI 1740816917, Lufkin, TX); Fep Of Kentucky LLC (NPI 1770266553, Hopkinsville, KY); Buffalo Emergency Associates LLP (NPI 1508816521, Williamsville, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407340441) · Data from the CMS NPPES public registry.