SETH ELLIS SR. RDN
NPI 1790103661
Dietitian, Registered in Opa Locka, FL

Active since March 28, 2014Accepts Medicare Assignment
1146 DUNAD AVE, OPA LOCKA, FL 33054(786) 709-0031 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Seth Ellis Sr. Rdn NPPES

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

SETH ELLIS SR. RDN (NPI 1790103661) is an individual dietitian, registered in Opa Locka, Florida, licensed in Florida (265860468) and active in the NPI registry since March 2014. He is a graduate of Florida International Univ, College Of Medicine (2014).

NPPES Registry Identity

NPI1790103661
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameSETH ELLIS SR.Credential: RDN
Location Address1146 DUNAD AVEOpa Locka, FL 33054-3412
Mailing Address1146 Dunad AveOpa Locka, FL 33054-3412 · (786) 709-0031
Sole ProprietorNo
Medical School CMSFlorida International Univ, College Of MedicineGraduated 2014
Enumeration DateMarch 28, 2014
NPI 1790103661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in FL · 265860468
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Also ListedNutritionistTaxonomy 133N00000X · License 265860468 (FL)
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X · License 265860468 (FL)
Also ListedHealth EducatorTaxonomy 174H00000X · License 2010245 (FL)
1146 DUNAD AVE, Opa Locka, FL 33054

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

Seth Ellis Sr. Rdn 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 ID7416493424
PECOS Enrollment IDI20260518003893

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33054 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
$0.00 typical visit price
range $60.92 – $187.05
Typical copayment $0.00 (range $15.23 – $46.76)
Most-billed visit code NA
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
1146 DUNAD AVE
OPA LOCKA, FL 33054

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 Seth Ellis's NPI number?

The NPI number for Seth Ellis is 1790103661. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Seth Ellis located?

Seth Ellis practices at 1146 Dunad Ave, Opa Locka, FL 33054. The listed phone number is (786) 709-0031.

What is Seth Ellis's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Seth Ellis enrolled in Medicare?

Yes. Seth 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.

When was this NPI record last updated?

The NPPES record for Seth Ellis was last updated on March 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.