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

NPI Status: Active since August 03, 2006

Contact Information

3181 SW SAM JACKSON PARK RD
DOERNBECHER CHILDREN'S HOSPITAL PEDIATRIC ICU
PORTLAND, OR
ZIP 97239
Phone: (503) 418-5800
Fax: (503) 418-5804

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  • Individual
  • Male
  • Years of Experience 35
  • Pediatrics
  • Pediatric Critical Care Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MILES ELLENBY

This page provides the complete NPI Profile along with additional information for Miles Ellenby, a pediatrician established in Portland, Oregon with a medical specialization in Pediatrics, focusing in pediatric critical care medicine and more than 35 years of experience. He graduated from University Of Chicago, Pritzker School Of Medicine in 1991. The healthcare provider is registered in the NPI registry with number 1780692210 assigned on August 2006. The practitioner's primary taxonomy code is 2080P0203X with license number MD22157 (OR). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1780692210
Provider Name
DR. MILES STEVEN ELLENBY MD
Gender
Male
Entity Type
Individual
Location Address
3181 SW SAM JACKSON PARK RD DOERNBECHER CHILDREN'S HOSPITAL PEDIATRIC ICU PORTLAND, OR 97239
Location Phone
(503) 418-5800
Location Fax
(503) 418-5804
Mailing Address
707 SW GAINES ST MAIL CODE CDRC-P PORTLAND, OR 97239
Mailing Phone
(503) 494-1544
Mailing Fax
(503) 418-5804
Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year
1991
Is Sole Proprietor?
No
Enumeration Date
08-03-2006
Last Update Date
07-14-2007
Code Navigator

A pediatrician like Miles Ellenby is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

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

Pediatrics Pediatric Critical Care Medicine

Taxonomy Code
2080P0203X
Type
Allopathic & Osteopathic Physicians
License No.
MD22157
License State
OR
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F85787MEDICARE UPIN (02) 
130353MEDICAID (05)OR 

Medicare Participation & PECOS Enrollment Status

Miles Ellenby is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Miles Ellenby 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

  • PECOS PAC ID: 4385712041

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20081008000035

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780692210, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 1 + 2 + 9 + 4 + 2 + 2 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1780692210.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
3181 SW SAM JACKSON PARK RD, # L-102
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Nurse Practitioner (Family)
3181 SW SAM JACKSON PARK RD, CDW-EM
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAILCODE CDW-EM
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, # CDW
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAIL CODE: CDW-EM
PORTLAND, OR 97239
Emergency Medicine (Medical Toxicology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Urology (Pediatric Urology)
3181 SW SAM JACKSON PARK RD, PEDIATRIC UROLOGY CDW-6
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD, UHN 80
PORTLAND, OR 97239
Advanced Practice Midwife
3181 SW SAM JACKSON PARK RD, KPV7C
PORTLAND, OR 97239
Surgery (Trauma Surgery)
3181 SW SAM JACKSON PARK RD, L611
PORTLAND, OR 97239
Pediatrics (Pediatric Emergency Medicine)
3181 SW SAM JACKSON PARK RD, MAIL CODE CDW-EM
PORTLAND, OR 97239
Nurse Practitioner
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine (Rheumatology)
3181 SW SAM JACKSON PARK RD, OP09
PORTLAND, OR 97239
Urology (Pediatric Urology)
3181 SW SAM JACKSON PARK RD, CDW6
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD, MAIL CODE DC7P
PORTLAND, OR 97239
Anesthesiology
3181 SW SAM JACKSON PARK RD, UHS-2
PORTLAND, OR 97239
Pediatrics (Pediatric Infectious Diseases)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physician Assistant
3181 SW SAM JACKSON PARK RD, CARDIOLOGY @UHN62
PORTLAND, OR 97239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780692210, enumerated as an "individual" on August 03, 2006.

The provider is located at 3181 SW SAM JACKSON PARK RD DOERNBECHER CHILDREN'S HOSPITAL PEDIATRIC ICU PORTLAND, OR 97239 and the phone number is (503) 418-5800.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.