HAKEEM S ELLIS CRNA
NPI 1750786331
Nurse Anesthetist, Certified Registered in Kettering, OH
About Hakeem S Ellis Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAKEEM S ELLIS CRNA (NPI 1750786331) is an individual nurse anesthetist, certified registered in Kettering, Ohio, licensed in Ohio (APRN.CRNA.16878) and active in the NPI registry since October 2014. He is affiliated with Miami Valley Hospital and is a graduate of Rush Medical College Of Rush University (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Hakeem S Ellis Crna 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.
Medicare Billing Reassignments
8Medicare enrollment records show Hakeem Ellis reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dayton, OH 45409
- Reassigned Medicare billing, Ohio enrollment
- 283 clinicians in this Medicare group
Dayton, OH 45459
- Reassigned Medicare billing, Ohio enrollment
- 18 clinicians in this Medicare group
Middletown, OH 45005
- Reassigned Medicare billing, Ohio enrollment
- 299 clinicians in this Medicare group
Cincinnati, OH 45212
- Reassigned Medicare billing, Ohio enrollment
- 57 clinicians in this Medicare group
Cincinnati, OH 45219
- Reassigned Medicare billing, Ohio enrollment
- 114 clinicians in this Medicare group
Cincinnati, OH 45219
- Reassigned Medicare billing, Ohio enrollment
- 317 clinicians in this Medicare group
Circleville, OH 43113
- Reassigned Medicare billing, Ohio enrollment
- 237 clinicians in this Medicare group
Circleville, OH 43113
- Reassigned Medicare billing, Ohio enrollment
- 365 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Miami Valley Hospital
Acute Care Hospitals · Dayton, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
KETTERING, OH 45429
KETTERING, OH 45429
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 Hakeem Ellis's NPI number?
The NPI number for Hakeem Ellis is 1750786331. It was assigned to this individual provider in the NPPES registry on October 25, 2014.
Where is Hakeem Ellis located?
Hakeem Ellis practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 293-8228.
What is Hakeem Ellis's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Hakeem Ellis enrolled in Medicare?
Yes. Hakeem Ellis 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 organizations bill Medicare for Hakeem Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hakeem Ellis reassigns Medicare benefits to 8 organizations: Anesthesiology Services Network Ltd (Dayton, OH), Imperial Enterprise Of Ohio LLC (Dayton, OH), Phs Anesthesia Billing, LLC (Middletown, OH), Cgi Anesthesia Associates LLC (Cincinnati, OH), Ogi Anesthesia, LLC (Cincinnati, OH) and 3 more organizations, listed in the Medicare section above. Each 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 Hakeem Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hakeem Ellis accept?
Health plans from CareSource and Paramount list Hakeem Ellis 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.
Is Hakeem Ellis affiliated with any hospitals?
According to CMS data, Hakeem Ellis is affiliated with Miami Valley Hospital.
When was this NPI record last updated?
The NPPES record for Hakeem Ellis was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Hakeem S Ellis, CRNA · NPI 1750786331
Nurse Anesthetist, Certified Registered physician in Kettering, Ohio. Individual provider, active in the CMS NPPES registry since October 25, 2014.
## Identity
- **NPI:** 1750786331 (Entity type: Individual)
- **Enumerated:** October 25, 2014
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** APRN.CRNA.16878 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 3535 SOUTHERN BLVD, Kettering, OH 45429-1221
- **Phone:** (937) 293-8228 · **Fax:** (937) 293-8229
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Anesthesiology Services Network Ltd (NPI 1821076779, Dayton, OH); Imperial Enterprise Of Ohio LLC (NPI 1295111318, Dayton, OH); Phs Anesthesia Billing, LLC (NPI 1578361044, Middletown, OH); Cgi Anesthesia Associates LLC (NPI 1174914352, Cincinnati, OH); Ogi Anesthesia, LLC (NPI 1962776807, Cincinnati, OH); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 2014
## Record status
- **NPPES last updated:** September 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1750786331) · Data from the CMS NPPES public registry.