DR. MILES STEVEN ELLENBY MD
NPI 1780692210
Pediatrics - Pediatric Critical Care Medicine in Portland, OR
About Dr. Miles Steven Ellenby Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MILES STEVEN ELLENBY MD (NPI 1780692210) is an individual pediatric critical care medicine provider in Portland, Oregon, licensed in Oregon (MD22157) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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. Miles Steven Ellenby Md 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 Reassignment
Medicare enrollment records show Miles Ellenby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 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.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Miles Ellenby's NPI number?
The NPI number for Miles Ellenby is 1780692210. It was assigned to this individual provider in the NPPES registry on August 3, 2006.
Where is Miles Ellenby located?
Miles Ellenby practices at 3181 SW Sam Jackson Park Rd Doernbecher Children's Hospital Pediatric Icu, Portland, OR 97239. The listed phone number is (503) 418-5800.
What is Miles Ellenby's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Miles Ellenby enrolled in Medicare?
Yes. Miles Ellenby 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 Miles Ellenby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miles Ellenby reassigns Medicare benefits to University Professional Services (Portland, OR). 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 Miles Ellenby'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 Miles Ellenby was last updated on July 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Miles Steven Ellenby, MD · NPI 1780692210
Pediatric Critical Care Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1780692210 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** MD22157 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, DOERNBECHER CHILDREN'S HOSPITAL PEDIATRIC ICU, Portland, OR 97239-3011
- **Phone:** (503) 418-5800 · **Fax:** (503) 418-5804
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Professional Services (NPI 1376709535, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Chicago, Pritzker School Of Medicine, class of 1991
## Record status
- **NPPES last updated:** July 14, 2007
- **Other identifiers:** Medicare UPIN F85787; Medicaid 130353 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1780692210) · Data from the CMS NPPES public registry.