ELLIE DAVIS
NPI 1831776418
Internal Medicine in Worcester, MA

Q: What is Ellie Davis's NPI number?

The NPI number for Ellie Davis is 1831776418. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Q: What is Ellie Davis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ellie Davis was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since March 28, 2021PECOS EnrolledAccepts Medicare Assignment

119 BELMONT ST, WORCESTER, MA 01605(508) 334-8515(508) 334-6490 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2024, Mar 28, 2021 (2 updates tracked since 2021).

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About Ellie Davis NPPES

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

ELLIE DAVIS (NPI 1831776418) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Massachusetts (1019901) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1831776418

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameELLIE DAVIS

Location Address119 BELMONT STWorcester, MA 01605-2903

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977

Phone(508) 334-8515

Fax(508) 334-6490

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 28, 2021

Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration

NPPES CertifiedDecember 12, 2024

✔ NPI 1831776418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MA · 1019901

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

119 BELMONT ST, Worcester, MA 01605

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Secondary Practice Location 1

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-8515 · Fax (508) 334-6490

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

Ellie Davis 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 ID8820490642

PECOS Enrollment IDI20241217000364

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.

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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 20

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

DR. PANKAJ ANIL KSHEERSAGAR M.B.B.S.,M.D

Family Medicine