KAREN ELIZABETH ELLIS DDS
NPI 1871829218
Dentist in Indianapolis, IN

Active since October 20, 2009PECOS Enrolled
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203(317) 788-9769 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Elizabeth Ellis Dds NPPES

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

KAREN ELIZABETH ELLIS DDS (NPI 1871829218) is an individual dentist in Indianapolis, Indiana, licensed in Indiana (12010148A) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871829218
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKAREN ELIZABETH ELLISCredential: DDS
Location Address3401 E RAYMOND STIndianapolis, IN 46203-4744
Mailing Address3401 E Raymond StIndianapolis, IN 46203-4744
Sole ProprietorNo
Enumeration DateOctober 20, 2009
Last NPPES UpdateDecember 28, 2020
NPPES CertifiedDecember 28, 2020
✔ NPI 1871829218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12010148A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3401 E RAYMOND ST, Indianapolis, IN 46203

Other Identifiers 1

Medicaid200296410IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Elizabeth Ellis Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Karen Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Preventive Medicine/Occupational Environmental Medicine
640 ESKENAZI AVE STE F1-200
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 386 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 46203 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

Podiatrist (Foot Surgery)
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Nurse Practitioner (Family)
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Pediatrics
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Nurse Practitioner (Family)
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Pediatrics
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Pediatrics
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Family Medicine
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Advanced Practice Midwife
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203

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 Karen Ellis's NPI number?

The NPI number for Karen Ellis is 1871829218. It was assigned to this individual provider in the NPPES registry on October 20, 2009.

Where is Karen Ellis located?

Karen Ellis practices at 3401 E Raymond St, Indianapolis, IN 46203. The listed phone number is (317) 788-9769.

What is Karen Ellis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Karen Ellis enrolled in Medicare?

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

Which organization bills Medicare for Karen Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Ellis reassigns Medicare benefits to Eskenazi Medical Group Inc (Indianapolis, IN). 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 Karen Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Ellis accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 5 other insurers list Karen Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Ellis was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.