DR. AMANDA DAWN ELLIS-PELLETIER DO
NPI 1639325129
Pediatrics - Pediatric Critical Care Medicine in Park Ridge, IL

Q: What is Amanda Ellis-pelletier's NPI number?

The NPI number for Amanda Ellis-pelletier is 1639325129. It was assigned to this individual provider in the NPPES registry on August 15, 2008.

Q: What is Amanda Ellis-pelletier's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since August 15, 2008PECOS Enrolled

1675 W DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-5313(847) 723-2325 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Amanda Dawn Ellis-pelletier Do NPPES

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

DR. AMANDA DAWN ELLIS-PELLETIER DO (NPI 1639325129) is an individual pediatric critical care medicine provider in Park Ridge, Illinois, licensed in Illinois (036-120880) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639325129

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. AMANDA DAWN ELLIS-PELLETIERCredential: DO

Location Address1675 W DEMPSTER STPark Ridge, IL 60068-1110

Mailing Address29373 Network PlChicago, IL 60673-1425 · (847) 390-5900

Phone(847) 723-5313

Fax(847) 723-2325

Sole ProprietorYes

Enumeration DateAugust 15, 2008

Last NPPES UpdateJune 27, 2022

NPPES CertifiedJune 27, 2022

✔ NPI 1639325129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in IL · 036-120880

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 036120880 (IL)

1675 W DEMPSTER ST, Park Ridge, IL 60068

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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)

Dr. Amanda Dawn Ellis-pelletier Do 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 15

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

DR. DIANA LILY MITCHELL M.D.

Pediatrics (Pediatric Critical Care Medicine)

1675 W DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (847) 723-5313

NV ORTHOTICS

Prosthetic/Orthotic Supplier

1675 W DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (708) 651-2564

DR. AMI PATEL PARIKH M.D.

Pediatrics (Pediatric Infectious Diseases)

1675 W DEMPSTER ST, YACKTMAN PAVILION
PARK RIDGE, IL 60068

Cook County (847) 318-9300

FRANK A. VICARI, M.D., LLC

Surgery (Plastic and Reconstructive Surgery)

1675 W DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (847) 302-9330

MELISSA HARRIS PT

Physical Therapist

1675 W DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (847) 723-7252

DR. VARSHA PARSHURAM GHARPURE M.D.

Pediatrics (Pediatric Critical Care Medicine)

1675 W DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (847) 723-5313

LARISA G BASA

Nurse Practitioner (Family)

1675 W DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (847) 723-9470

THOMAS W PORTER DO

Pediatrics

1675 W DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (847) 723-2210

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 Amanda Ellis-pelletier's NPI number?

The NPI number for Amanda Ellis-pelletier is 1639325129. It was assigned to this individual provider in the NPPES registry on August 15, 2008.

Where is Amanda Ellis-pelletier located?

Amanda Ellis-pelletier practices at 1675 W Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 723-5313.

What is Amanda Ellis-pelletier's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Amanda Ellis-pelletier enrolled in Medicare?

Yes. Amanda Ellis-pelletier is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Ellis-pelletier was last updated on June 27, 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.