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DR. MILES STEVEN ELLENBY MD
NPI 1780692210
Pediatrics - Pediatric Critical Care Medicine in Portland, OR

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, DOERNBECHER CHILDREN'S HOSPITAL PEDIATRIC ICU, PORTLAND, OR 97239(503) 418-5800(503) 418-5804 Get Directions Write a Review

NPPES record last updated: July 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1780692210
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. MILES STEVEN ELLENBYCredential: MD
Location Address3181 SW SAM JACKSON PARK RD, DOERNBECHER CHILDREN'S HOSPITAL PEDIATRIC ICUPortland, OR 97239-3011
Mailing Address707 Sw Gaines St, Mail Code Cdrc-pPortland, OR 97239-2901 · (503) 494-1544 · Fax (503) 494-4951
Phone(503) 418-5800
Fax(503) 418-5804
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1991
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 14, 2007
✔ NPI 1780692210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in OR · MD22157
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Other Identifiers 2

Medicare UPINF85787
Medicaid130353OR

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

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.

PECOS PAC ID4385712041
PECOS Enrollment IDI20081008000035
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.

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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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.

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.