KEN RICHARD ELLZEY MD
NPI 1861571903
Family Medicine in Clovis, CA

Q: What is Ken Ellzey's NPI number?

The NPI number for Ken Ellzey is 1861571903. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is Ken Ellzey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ken Ellzey was last updated on July 8, 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.

Active since November 02, 2006PECOS Enrolled

2071 HERNDON AVE, CLOVIS, CA 93611(559) 324-5100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ken Richard Ellzey Md NPPES

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

KEN RICHARD ELLZEY MD (NPI 1861571903) is an individual family medicine provider in Clovis, California, licensed in California (C40990) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861571903

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKEN RICHARD ELLZEYCredential: MD

Location Address2071 HERNDON AVEClovis, CA 93611-6101

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262

Phone(559) 324-5100

Sole ProprietorNo

Enumeration DateNovember 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1861571903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · C40990

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2071 HERNDON AVE, Clovis, CA 93611

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Other Identifiers 3

Medicare UPINF11396

Medicaid00C409900CA

Medicare ID-Type Unspecified00C409900

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ken Richard Ellzey 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93611 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

RAVNEET KAUR THIND DO

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