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

Q: 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.

Q: What is Jonathan Ellen's specialty?

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

Q: When was this NPI record last updated?

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

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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