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DR. ELLIOT RYAN CARLISLE M.D.
NPI 1669453676
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Encino, CA

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
16311 VENTURA BLVD, SUITE 800, ENCINO, CA 91436(818) 788-7343(818) 788-9453 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Elliot Ryan Carlisle M.d. NPPES

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

DR. ELLIOT RYAN CARLISLE M.D. (NPI 1669453676) is an individual orthopaedic surgery of the spine provider in Encino, California, licensed in California (A74780) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1999).

NPPES Registry Identity

NPI1669453676
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. ELLIOT RYAN CARLISLECredential: M.D.
Location Address16311 VENTURA BLVD, SUITE 800Encino, CA 91436-2124
Mailing Address17525 Ventura Blvd, Suite 203Encino, CA 91316-3843 · (818) 986-0200 · Fax (818) 986-4390
Phone(818) 788-7343
Fax(818) 788-9453
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1999
Enumeration DateNovember 7, 2005
Last NPPES UpdateDecember 29, 2021
✔ NPI 1669453676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in CA · A74780
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
16311 VENTURA BLVD, Encino, CA 91436
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Other Identifiers 1

Medicaid00A233730CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Elliot Ryan Carlisle M.d. 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 ID5294779997
PECOS Enrollment IDI20050614000540
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.

Medicare Billing Reassignment

Medicare enrollment records show Elliot Carlisle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
295 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LAHIJI MEDICAL INC
Clinic/Center (Primary Care)
16311 VENTURA BLVD, SUITE 907
ENCINO, CA 91436
Los Angeles County (818) 907-7070
JEFFREY B GLASER MD MEDICAL
Anesthesiology (Pain Medicine)
16311 VENTURA BLVD, SUITE #518
ENCINO, CA 91436
Los Angeles County (818) 501-7246
MR. STEVEN YOSHIHARU SHIBA DDS
Dentist
16311 VENTURA BLVD, #1075
ENCINO, CA 91436
Los Angeles County (818) 783-2770
DR. RICHARD E MACK JR. M.D.
Surgery (Plastic and Reconstructive Surgery)
16311 VENTURA BLVD, SUITE 1080
ENCINO, CA 91436
Los Angeles County (818) 501-5073
DR. BRUCE RICHARD STEINBERG M.D.
Psychiatry & Neurology (Addiction Medicine)
16311 VENTURA BLVD, SUITE 1050
ENCINO, CA 91436
Los Angeles County (818) 990-7099
MOUNTAIN VIEW SURGICAL CENTER INC.
Clinic/Center (Ambulatory Surgical)
16311 VENTURA BLVD, #705
ENCINO, CA 91436
Los Angeles County (818) 205-9500
TOORAJ TODD GRAVORI MD INC
Neurological Surgery
16311 VENTURA BLVD, SUITE 1065
ENCINO, CA 91436
Los Angeles County (818) 390-9100
MATTHEW MALAMET M.D. PC
Plastic Surgery
16311 VENTURA BLVD, SUITE 835
ENCINO, CA 91436
Los Angeles County (818) 380-3130

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 Elliot Carlisle's NPI number?

The NPI number for Elliot Carlisle is 1669453676. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Elliot Carlisle located?

Elliot Carlisle practices at 16311 Ventura Blvd Suite 800, Encino, CA 91436. The listed phone number is (818) 788-7343.

What is Elliot Carlisle's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Elliot Carlisle enrolled in Medicare?

Yes. Elliot Carlisle 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.

Which organization bills Medicare for Elliot Carlisle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elliot Carlisle reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elliot Carlisle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elliot Carlisle was last updated on December 29, 2021. 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.