DEION ELLIS MD
NPI 1831791268
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since November 10, 2020PECOS Enrolled
12631 E 17TH AVE, AURORA, CO 80045(505) 205-3854 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2024, Mar 28, 2023, Nov 10, 2020 (3 updates tracked since 2020).

About Deion Ellis Md NPPES

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

DEION ELLIS MD (NPI 1831791268) is an individual student in an organized health care education/training program in Aurora, Colorado, licensed in Colorado (TL0010349) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831791268
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEION ELLISCredential: MD
Location Address12631 E 17TH AVEAurora, CO 80045-2527
Mailing Address12631 E 17th AveAurora, CO 80045-2527 · (505) 205-3854
Sole ProprietorNo
Enumeration DateNovember 10, 2020
Last NPPES UpdateApril 22, 20243 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1831791268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CO · TL0010349
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12631 E 17TH AVE, Aurora, CO 80045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Deion Ellis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Internal Medicine
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045

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 Deion Ellis's NPI number?

The NPI number for Deion Ellis is 1831791268. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Deion Ellis located?

Deion Ellis practices at 12631 E 17th Ave, Aurora, CO 80045. The listed phone number is (505) 205-3854.

What is Deion Ellis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Deion Ellis enrolled in Medicare?

Yes. Deion Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deion Ellis was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.