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MR. SHAJI JOSEPH ELLIMUTTIL PA
NPI 1760150981
Physician Assistant in Plano, TX

Active since September 01, 2021PECOS EnrolledAccepts Medicare Assignment
1100 ALLIED DR, PLANO, TX 75093(972) 977-9301 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shaji Joseph Ellimuttil Pa NPPES

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

MR. SHAJI JOSEPH ELLIMUTTIL PA (NPI 1760150981) is an individual physician assistant in Plano, Texas, licensed in Texas (PA14664) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760150981
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SHAJI JOSEPH ELLIMUTTILCredential: PA
Location Address1100 ALLIED DRPlano, TX 75093-5348
Mailing Address1900 Knightsbridge Rd Apt 5204Farmers Branch, TX 75234-1378 · (972) 977-9301
Phone(972) 977-9301
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 1, 2021
NPPES CertifiedSeptember 1, 2021
✔ NPI 1760150981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA14664
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1100 ALLIED DR, Plano, TX 75093
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Shaji Joseph Ellimuttil Pa 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 ID3173914496
PECOS Enrollment IDI20211221002590
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AHMED KAZEM DO
Student in an Organized Health Care Education/Training Program
1100 ALLIED DR
PLANO, TX 75093
Collin County (469) 814-3160
JACOB MEDINA PT, DPT
Physical Therapist
1100 ALLIED DR
PLANO, TX 75093
Collin County (469) 814-3278
MRS. ANDREA LYNN BATTEY AGACNP-BC
Nurse Practitioner (Acute Care)
1100 ALLIED DR
PLANO, TX 75093
Collin County (469) 814-3278
TEXAS HEART HOSPITAL OF THE SOUTHWEST LLP
Nurse Practitioner
1100 ALLIED DR
PLANO, TX 75093
Collin County (469) 814-3278
BRITNEY BROWN HOLLOWAY
Physician Assistant (Surgical)
1100 ALLIED DR
PLANO, TX 75093
Collin County (225) 776-4888
AKASH RUSIA
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1100 ALLIED DR
PLANO, TX 75093
Collin County (219) 730-3601
EDITHA GUEVARA CNP
Nurse Practitioner (Gerontology)
1100 ALLIED DR
PLANO, TX 75093
Collin County (877) 814-4488
MISTY LAWRENCE AGACNP
Nurse Practitioner (Acute Care)
1100 ALLIED DR
PLANO, TX 75093
Collin County (469) 414-5002

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 Shaji Ellimuttil's NPI number?

The NPI number for Shaji Ellimuttil is 1760150981. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Shaji Ellimuttil located?

Shaji Ellimuttil practices at 1100 Allied Dr, Plano, TX 75093. The listed phone number is (972) 977-9301.

What is Shaji Ellimuttil's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shaji Ellimuttil enrolled in Medicare?

Yes. Shaji Ellimuttil 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.

What insurance does Shaji Ellimuttil accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Shaji Ellimuttil 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 Shaji Ellimuttil affiliated with any hospitals?

According to CMS data, Shaji Ellimuttil is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Shaji Ellimuttil was last updated on September 1, 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.