DR. PAMELA I ELLSWORTH M.D.
NPI 1417948647
Urology - Pediatric Urology in Orlando, FL

Active since November 05, 2005PECOS Enrolled
13535 NEMOURS PKWY, ORLANDO, FL 32827(407) 567-4000(407) 567-5924 Get Directions Write a Review

NPPES record last updated: January 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2018, Mar 17, 2017 (2 updates tracked since 2017).

About Dr. Pamela I Ellsworth M.d. NPPES

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

DR. PAMELA I ELLSWORTH M.D. (NPI 1417948647) is an individual pediatric urology provider in Orlando, Florida, licensed in Florida (ME129642) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417948647
Entity TypeIndividualFemale
Primary Taxonomy2088P0231X
Provider Legal NameDR. PAMELA I ELLSWORTHCredential: M.D.
Location Address13535 NEMOURS PKWYOrlando, FL 32827-7402
Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4127 · Fax (904) 697-5102
Fax(407) 567-5924
Sole ProprietorNo
Enumeration DateNovember 5, 2005
Last NPPES UpdateJanuary 13, 20182 updates tracked since enumeration
NPI 1417948647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Licenses Licensed in FL · ME129642 Licensed in MA · 150422
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X · License MD11894 (RI), 150422 (MA)
13535 NEMOURS PKWY, Orlando, FL 32827

Other Identifiers 4

Medicaid018993600FL
Other31017RI · Blue Shield
Medicaid3158667MA
MedicaidPE45993RI

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)

Dr. Pamela I Ellsworth 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.

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
13535 NEMOURS PKWY
ORLANDO, FL 32827
Pediatrics (Developmental - Behavioral Pediatrics)
13535 NEMOURS PKWY
ORLANDO, FL 32827
Pediatrics
13535 NEMOURS PKWY
ORLANDO, FL 32827
Nurse Anesthetist, Certified Registered
13535 NEMOURS PKWY
ORLANDO, FL 32827
Genetic Counselor, MS
13535 NEMOURS PKWY
ORLANDO, FL 32827
Pathology (Anatomic Pathology & Clinical Pathology)
13535 NEMOURS PKWY, NEMOURS CHILDRENS HOSPITAL
ORLANDO, FL 32827
Dietitian, Registered (Nutrition, Pediatric)
13535 NEMOURS PKWY
ORLANDO, FL 32827
Nurse Practitioner (Family)
13535 NEMOURS PKWY
ORLANDO, FL 32827

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 Pamela Ellsworth's NPI number?

The NPI number for Pamela Ellsworth is 1417948647. It was assigned to this individual provider in the NPPES registry on November 5, 2005.

Where is Pamela Ellsworth located?

Pamela Ellsworth practices at 13535 Nemours Pkwy, Orlando, FL 32827. The listed phone number is (407) 567-4000.

What is Pamela Ellsworth's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Pamela Ellsworth enrolled in Medicare?

Yes. Pamela Ellsworth is registered in the Medicare PECOS enrollment system.

What insurance does Pamela Ellsworth accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pamela 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 Pamela Ellsworth was last updated on January 13, 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.