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DR. JONATHAN MARK ELLEN MD
NPI 1871533547
Pediatrics in Takoma Park, MD

Active since June 08, 2006PECOS Enrolled
7676 NEW HAMPSHIRE AVE STE 220A, TAKOMA PARK, MD 20912(240) 297-6758 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jonathan Mark Ellen Md NPPES

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

DR. JONATHAN MARK ELLEN MD (NPI 1871533547) is an individual pediatrics provider in Takoma Park, Maryland, licensed in Florida (ME110221) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1988).

NPPES Registry Identity

NPI1871533547
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JONATHAN MARK ELLENCredential: MD
Location Address7676 NEW HAMPSHIRE AVE STE 220ATakoma Park, MD 20912-7514
Mailing Address7676 New Hampshire Ave Ste 220aTakoma Park, MD 20912-7514 · (240) 297-6758
Phone(240) 297-6758
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1988
Enumeration DateJune 8, 2006
Last NPPES UpdateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1871533547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME110221✔ Licensed in MD · D54679
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
7676 NEW HAMPSHIRE AVE STE 220A, Takoma Park, MD 20912
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Other Identifiers 1

Medicaid472901300MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Mark Ellen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799818159
PECOS Enrollment IDI20251023003825
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 20912 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 6

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

DR. MARTINE NZUNGIZE RANDOLPH MD
Family Medicine
7676 NEW HAMPSHIRE AVE STE 220A
TAKOMA PARK, MD 20912
Montgomery County (866) 877-7258
MICHELE MAGERA
Registered Nurse
7676 NEW HAMPSHIRE AVE STE 220A
TAKOMA PARK, MD 20912
Montgomery County (301) 431-2972
NORMA ALVARADO WILMOT RN
Registered Nurse (Community Health)
7676 NEW HAMPSHIRE AVE STE 220A
TAKOMA PARK, MD 20912
Montgomery County (301) 431-2972
DR. PATRICIA FRYE MD
Pediatrics
7676 NEW HAMPSHIRE AVE STE 220A
TAKOMA PARK, MD 20912
Montgomery County (301) 431-2972
COMMUNITY CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
7676 NEW HAMPSHIRE AVE STE 220A
TAKOMA PARK, MD 20912
Montgomery County (301) 431-2972
HYUN J JIN PA
Physician Assistant
7676 NEW HAMPSHIRE AVE STE 220A
TAKOMA PARK, MD 20912
Montgomery County (301) 431-2972

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 Jonathan Ellen's NPI number?

The NPI number for Jonathan Ellen is 1871533547. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Jonathan Ellen located?

Jonathan Ellen practices at 7676 New Hampshire Ave Ste 220A, Takoma Park, MD 20912. The listed phone number is (240) 297-6758.

What is Jonathan Ellen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jonathan Ellen enrolled in Medicare?

Yes. Jonathan Ellen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Ellen was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.