SIMONE ELLIS MD
NPI 1710365531
Family Medicine in Washington, DC
NPI Status: Active since May 13, 2015
Contact Information
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
Phone: (202) 745-7000
- Individual
- Female
- Family Medicine
- PECOS Enrolled
About SIMONE ELLIS
This page provides the complete NPI Profile along with additional information for Simone Ellis, a primary care provider established in Washington, District Of Columbia with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1710365531 assigned on May 2015. The practitioner's primary taxonomy code is 207Q00000X with license number MD047499 (DC). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1710365531
- Provider Name
- SIMONE ELLIS MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1525 14TH ST NW WASHINGTON, DC 20005
- Location Phone
- (202) 745-7000
- Mailing Address
- 1525 14TH ST NW WASHINGTON, DC 20005
- Mailing Phone
- (202) 745-7000
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-13-2015
- Last Update Date
- 08-15-2019
- Code Navigator
A primary care provider (PCP) like Simone Ellis sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 580 Commonwealth Ave Unit 611
Boston, MA 02215
(203) 414-1495
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD047499
- License State
- DC
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 61657 (CT) |
Medicare Participation & PECOS Enrollment Status
Simone Ellis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Hospital Beds (DB000N)
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 20005 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $100.31
- Minimum New Patient Price $65.18
- Maximum New Patient Price $194.86
- Average New Patient Copayment $25.07
- Minimum New Patient Copayment $16.29
- Maximum New Patient Copayment $48.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $113.72
- Minimum Established Patient Price $21.4
- Maximum Established Patient Price $158.88
- Average Established Patient Copayment $28.43
- Minimum Established Patient Copayment $5.35
- Maximum Established Patient Copayment $39.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 1 | 0 | 3 | 6 | 5 | 5 | 3 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 2 | 0 | 6 | 6 | 10 | 5 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 2 + 0 + 6 + 6 + 1 + 0 + 5 + 6 + 24 = 59 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 59 = 1 | 1 |
The NPI number 1710365531 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
WHITMAN-WALKER CLINIC, INC
Clinic/Center
(Federally Qualified Health Center (FQHC))
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
WHITMAN WALKER HEALTH
Clinic/Center
(Community Health)
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
WHITMAN-WALKER HEALTH
Clinic/Center
(Community Health)
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
DR. DONNA MARIA RAY DDS
Dentist
(General Practice)
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
ROBERT KEARNEY LGSW
Social Worker
(School)
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
EMELINE MUGISHA RN
Registered Nurse
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
TERRI-JO DELANEY
Dental Hygienist
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
ANNA JAMESON RN
Registered Nurse
(Community Health)
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
MR. KRISTIAN ANDREAS MELBY PA-C
Physician Assistant
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
ISABELLE KOUMBAIRIA DH
Dental Hygienist
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
CAITLIN JINDRICH RD
Dietitian, Registered
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
DR. PAUL MICHAEL BOSSIE MD
Psychiatry & Neurology
(Psychiatry)
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
MR. JEFFREY DINARDO MA, LPC
Counselor
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
BRITTNEY RENEE SIMS
Physician Assistant
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
AMANDA MEAGHAN CARY
Nurse Practitioner
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
UDUAK AKPAN
Registered Nurse
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
BRITTANY WALSH LICSW
Social Worker
(Clinical)
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
DR. STEPHEN E ABBOTT MD
Internal Medicine
(Infectious Disease)
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
TIMOTHY PATRICK WROBLE
Dental Hygienist
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
MS. SAUDAT OLAYINKA OLUSHOLA AKINOLA-HADLEY PA-C
Physician Assistant
1525 14TH ST NW
WASHINGTON, DC
ZIP 20005
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710365531, enumerated as an "individual" on May 13, 2015.
The provider is located at 1525 14TH ST NW WASHINGTON, DC 20005 and the phone number is (202) 745-7000.
Family Medicine with taxonomy code 207Q00000X.