DR. KENNETH A ELLENBOGEN MD
NPI 1508966706
Internal Medicine - Clinical Cardiac Electrophysiology in Richmond, VA

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
1250 E MARSHALL ST, INTERNAL MEDICINE/CARDIOLOGY, RICHMOND, VA 23298(804) 828-7565(804) 828-6082 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth A Ellenbogen Md NPPES

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

DR. KENNETH A ELLENBOGEN MD (NPI 1508966706) is an individual clinical cardiac electrophysiology provider in Richmond, Virginia, licensed in Virginia (0101040591) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Johns Hopkins University School Of Medicine (1980).

NPPES Registry Identity

NPI1508966706
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. KENNETH A ELLENBOGENCredential: MD
Location Address1250 E MARSHALL ST, INTERNAL MEDICINE/CARDIOLOGYRichmond, VA 23298-5051
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Fax(804) 828-6082
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1980
Enumeration DateSeptember 25, 2006
Last NPPES UpdateDecember 30, 2022
NPPES CertifiedDecember 30, 2022
NPI 1508966706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in VA · 0101040591
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 0101040591 (VA)
1250 E MARSHALL ST, Richmond, VA 23298

Other Identifiers 1

Medicaid006027547VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth A Ellenbogen Md 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.

PECOS PAC ID2567598410
PECOS Enrollment IDI20100330000671
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.

Areas of Expertise CMS Part B claims 48

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
3,377 services1,907 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,184 services949 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
797 services617 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
709 services516 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
468 services362 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
415 services319 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$56.32 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298
Nurse Practitioner (Family)
1250 E MARSHALL ST, GENERAL MEDICINE
RICHMOND, VA 23298
Internal Medicine
1250 E MARSHALL ST, INTERNAL MEDICINE
RICHMOND, VA 23298
Nurse Practitioner (Family)
1250 E MARSHALL ST, DEPARTMENT OF PEDIATRICS
RICHMOND, VA 23298
Internal Medicine (Geriatric Medicine)
1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GERIATRIC MEDICINE
RICHMOND, VA 23298
Physician Assistant
1250 E MARSHALL ST, EMERGENCY MEDICINE
RICHMOND, VA 23298
Nurse Practitioner (Acute Care)
1250 E MARSHALL ST
RICHMOND, VA 23298
Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298

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 Kenneth Ellenbogen's NPI number?

The NPI number for Kenneth Ellenbogen is 1508966706. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Kenneth Ellenbogen located?

Kenneth Ellenbogen practices at 1250 E Marshall St Internal Medicine/Cardiology, Richmond, VA 23298. The listed phone number is (804) 828-7565.

What is Kenneth Ellenbogen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Kenneth Ellenbogen enrolled in Medicare?

Yes. Kenneth Ellenbogen 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.

Is Kenneth Ellenbogen affiliated with any hospitals?

According to CMS data, Kenneth Ellenbogen is affiliated with Medical College Of Virginia Hospitals, Sentara Williamsburg Regional Medical Center, Vcu Health Tappahannock Hospital, Community Memorial Hospital and Riverside Walter Reed Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Ellenbogen was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.