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LORI J ELLIS MD
NPI 1467687756
Pediatrics in Smithtown, NY

Active since May 15, 2009PECOS Enrolled
260 E MIDDLE COUNTRY RD, SUITE 107, SMITHTOWN, NY 11787(631) 979-7222 Get Directions Write a Review

NPPES record last updated: May 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2022, Nov 12, 2015 (2 updates tracked since 2015).

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

NPI1467687756
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLORI J ELLISCredential: MD
Location Address260 E MIDDLE COUNTRY RD, SUITE 107Smithtown, NY 11787-2982
Mailing Address260 E Middle Country RdSmithtown, NY 11787-2982 · (631) 979-7222 · Fax (631) 638-4170
Phone(631) 979-7222
Sole ProprietorNo
Enumeration DateMay 15, 2009
Last NPPES UpdateMay 7, 20222 updates tracked since enumeration
NPPES CertifiedMay 7, 2022
✔ NPI 1467687756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 264115
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.
260 E MIDDLE COUNTRY RD, Smithtown, NY 11787
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Lori J Ellis Md 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 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NUBIA STELLA VARGAS-CHEN M.D.
Pediatrics
260 E MIDDLE COUNTRY RD
SMITHTOWN, NY 11787
Suffolk County (631) 979-7222
DR. STEPHEN LITTMAN M.D.
Internal Medicine (Cardiovascular Disease)
260 E MIDDLE COUNTRY RD, SUITE 214
SMITHTOWN, NY 11787
Suffolk County (631) 265-5050
AMY CAVALLO
Audiologist
260 E MIDDLE COUNTRY RD, SUITE 201
SMITHTOWN, NY 11787
Suffolk County (631) 265-8780
SHAYNA COLEMAN NP
Nurse Practitioner (Family)
260 E MIDDLE COUNTRY RD
SMITHTOWN, NY 11787
Suffolk County (631) 265-5050
KATELIN TAMBASCO
Nurse Practitioner (Family)
260 E MIDDLE COUNTRY RD
SMITHTOWN, NY 11787
Suffolk County (631) 863-3223
DR. MICHELLE LIEBERT M.D.
Ophthalmology
260 E MIDDLE COUNTRY RD, SUITE 201
SMITHTOWN, NY 11787
Suffolk County (631) 265-8780
MRS. KATHLEEN R VAN VALKENBURG MD
Ophthalmology
260 E MIDDLE COUNTRY RD, SUITE 201
SMITHTOWN, NY 11787
Suffolk County (631) 265-8780
DR. JOHN MAURO DO
Ophthalmology
260 E MIDDLE COUNTRY RD, SUITE 201
SMITHTOWN, NY 11787
Suffolk County (631) 265-8780

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.

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.