GEORGE C ELLIS MD
NPI 1497873350
Internal Medicine - Cardiovascular Disease in New York, NY
About George C Ellis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGE C ELLIS MD (NPI 1497873350) is an individual cardiovascular disease provider in New York, New York, licensed in New York (124505) and active in the NPI registry since March 2007. He has opted out of Medicare through November 24, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
George C Ellis Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 24, 2013 through November 24, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10128 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10128
NEW YORK, NY 10128
NEW YORK, NY 10128
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 George Ellis's NPI number?
The NPI number for George Ellis is 1497873350. It was assigned to this individual provider in the NPPES registry on March 27, 2007.
Where is George Ellis located?
George Ellis practices at 1185 Park Avenue # 1C, New York, NY 10128. The listed phone number is (212) 722-6613.
What is George Ellis's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is George Ellis enrolled in Medicare?
No. George Ellis has opted out of Medicare through November 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for George Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# George C Ellis, MD · NPI 1497873350
Cardiovascular Disease physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 27, 2007.
## Identity
- **NPI:** 1497873350 (Entity type: Individual)
- **Enumerated:** March 27, 2007
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 124505 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1185 PARK AVENUE, # 1C, New York, NY 10128-1310
- **Phone:** (212) 722-6613 · **Fax:** (212) 722-6835
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 24, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN D39082; Medicare ID-Type Unspecified 331281
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Source: [NPI Profile](https://npiprofile.com/npi/1497873350) · Data from the CMS NPPES public registry.