LORI J ELLIS MD
NPI 1467687756
Pediatrics in Smithtown, NY
About Lori J Ellis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LORI J ELLIS MD (NPI 1467687756) is an individual pediatrics provider in Smithtown, New York, licensed in New York (264115) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lori J Ellis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lori Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 191 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11787 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SMITHTOWN, NY 11787
SMITHTOWN, NY 11787
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 Lori Ellis's NPI number?
The NPI number for Lori Ellis is 1467687756. It was assigned to this individual provider in the NPPES registry on May 15, 2009.
Where is Lori Ellis located?
Lori Ellis practices at 260 E Middle Country Rd Suite 107, Smithtown, NY 11787. The listed phone number is (631) 979-7222.
What is Lori Ellis's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Lori Ellis enrolled in Medicare?
Yes. Lori Ellis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lori Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lori Ellis reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY). The 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 Lori Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lori Ellis accept?
Health plans from Blue Cross and Blue Shield of Texas list Lori 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 Lori Ellis was last updated on May 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lori J Ellis, MD · NPI 1467687756
Pediatrics physician in Smithtown, New York. Individual provider, active in the CMS NPPES registry since May 15, 2009.
## Identity
- **NPI:** 1467687756 (Entity type: Individual)
- **Enumerated:** May 15, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 264115 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 260 E MIDDLE COUNTRY RD, SUITE 107, Smithtown, NY 11787-2982
- **Phone:** (631) 979-7222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stony Brook Children's Service, University Faculty Practice Corporatio (NPI 1083660575, Stony Brook, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1467687756) · Data from the CMS NPPES public registry.