DR. JONATHAN MARK ELLEN MD
NPI 1871533547
Pediatrics in Takoma Park, MD
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jonathan Mark Ellen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Ellen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Takoma Park, MD 20912
- Reassigned Medicare billing, District of Columbia enrollment
- 72 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAKOMA PARK, MD 20912
TAKOMA PARK, MD 20912
TAKOMA PARK, MD 20912
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.
Which organization bills Medicare for Jonathan Ellen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Ellen reassigns Medicare benefits to Community Clinic, Inc. (Takoma Park, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Ellen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 14 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.
# Dr. Jonathan Mark Ellen, MD · NPI 1871533547
Pediatrics physician in Takoma Park, Maryland. Individual provider, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1871533547 (Entity type: Individual)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** ME110221 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 7676 NEW HAMPSHIRE AVE STE 220A, Takoma Park, MD 20912-7514
- **Phone:** (240) 297-6758
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Clinic, Inc. (NPI 1790730281, Takoma Park, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** August 12, 2025
- **Other identifiers:** Medicaid 472901300 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1871533547) · Data from the CMS NPPES public registry.