MR. JAMES P. ENNIS II PA-C
NPI 1598047367
Physician Assistant - Surgical in Phoenix, MD

Q: What is James Ennis's NPI number?

The NPI number for James Ennis is 1598047367. It was assigned to this individual provider in the NPPES registry on September 16, 2011.

Q: What is James Ennis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for James Ennis was last updated on September 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 16, 2011PECOS Enrolled

4023 CLOVERLAND DRIVE, PHOENIX, MD 21131(443) 514-5864(410) 420-9641 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. James P. Ennis Ii Pa-c NPPES

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

MR. JAMES P. ENNIS II PA-C (NPI 1598047367) is an individual surgical provider in Phoenix, Maryland and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598047367

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. JAMES P. ENNIS IICredential: PA-C

Location Address4023 CLOVERLAND DRIVEPhoenix, MD 21131-2139

Mailing Address4023 Cloverland DrivePhoenix, MD 21131-2139 · (443) 514-5864 · Fax (410) 420-9641

Phone(443) 514-5864

Fax(410) 420-9641

Sole ProprietorNo

Enumeration DateSeptember 16, 2011

✔ NPI 1598047367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

4023 CLOVERLAND DRIVE, Phoenix, MD 21131

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. James P. Ennis Ii Pa-c 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.

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 James Ennis's NPI number?

The NPI number for James Ennis is 1598047367. It was assigned to this individual provider in the NPPES registry on September 16, 2011.

Where is James Ennis located?

James Ennis practices at 4023 Cloverland Drive, Phoenix, MD 21131. The listed phone number is (443) 514-5864.

What is James Ennis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is James Ennis enrolled in Medicare?

Yes. James Ennis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Ennis was last updated on September 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.