MARC ANDREW ELLSWORTH MD
NPI 1609171115
Pediatrics - Neonatal-Perinatal Medicine in Gilbert, AZ

Q: What is Marc Ellsworth's NPI number?

The NPI number for Marc Ellsworth is 1609171115. It was assigned to this individual provider in the NPPES registry on January 13, 2011.

Q: What is Marc Ellsworth's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Marc Ellsworth was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 13, 2011PECOS Enrolled

3420 S MERCY RD STE 205, GILBERT, AZ 85297(602) 933-6345 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marc Andrew Ellsworth Md NPPES

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

MARC ANDREW ELLSWORTH MD (NPI 1609171115) is an individual neonatal-perinatal medicine provider in Gilbert, Arizona, licensed in Arizona (51592) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609171115

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameMARC ANDREW ELLSWORTHCredential: MD

Location Address3420 S MERCY RD STE 205Gilbert, AZ 85297-0423

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814

Phone(602) 933-6345

Sole ProprietorNo

Enumeration DateJanuary 13, 2011

Last NPPES UpdateDecember 9, 2020

NPPES CertifiedDecember 9, 2020

✔ NPI 1609171115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in AZ · 51592

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 54096 (MN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3420 S MERCY RD STE 205, Gilbert, AZ 85297

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Other Identifiers 1

MedicaidENROLLEDMN

Accepted Insurance

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

Marc Andrew Ellsworth 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.

Other Providers at the Same Location NPPES 4

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

DR. GREGORY CARL MARTIN M.D.

Pediatrics (Neonatal-Perinatal Medicine)

3420 S MERCY RD STE 205
GILBERT, AZ 85297

Maricopa County (602) 933-6345

AMY NORTON DPT

Physical Therapist

3420 S MERCY RD STE 205
GILBERT, AZ 85297

Maricopa County (602) 933-3033

DR. KEVIN RYAN ELLSWORTH M.D.

Pediatrics (Neonatal-Perinatal Medicine)

3420 S MERCY RD STE 205
GILBERT, AZ 85297

Maricopa County (602) 933-6345

DAVID BENNETT

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

3420 S MERCY RD STE 205
GILBERT, AZ 85297

Maricopa County (602) 933-3033

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 Marc Ellsworth's NPI number?

The NPI number for Marc Ellsworth is 1609171115. It was assigned to this individual provider in the NPPES registry on January 13, 2011.

Where is Marc Ellsworth located?

Marc Ellsworth practices at 3420 S Mercy Rd Ste 205, Gilbert, AZ 85297. The listed phone number is (602) 933-6345.

What is Marc Ellsworth's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Marc Ellsworth enrolled in Medicare?

Yes. Marc Ellsworth is registered in the Medicare PECOS enrollment system.

What insurance does Marc Ellsworth accept?

Health plans from Blue Cross Blue Shield of Arizona list Marc Ellsworth 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 Marc Ellsworth was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.