DR. MARY KATHRYN ELLIS MD
NPI 1962452706
Internal Medicine - Pulmonary Disease in Milwaukee, WI
About Dr. Mary Kathryn Ellis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY KATHRYN ELLIS MD (NPI 1962452706) is an individual pulmonary disease provider in Milwaukee, Wisconsin, licensed in Wisconsin (39682-020) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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. Mary Kathryn Ellis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Mary Ellis's NPI number?
The NPI number for Mary Ellis is 1962452706. It was assigned to this individual provider in the NPPES registry on May 11, 2006.
Where is Mary Ellis located?
Mary Ellis practices at 2900 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 649-6572.
What is Mary Ellis's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Mary Ellis enrolled in Medicare?
Yes. Mary Ellis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Ellis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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. Mary Kathryn Ellis, MD · NPI 1962452706
Pulmonary Disease physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1962452706 (Entity type: Individual)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 39682-020 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2900 W OKLAHOMA AVE, Milwaukee, WI 53215-4330
- **Phone:** (414) 649-6572
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 34074200 (WI); Other P00202747 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1962452706) · Data from the CMS NPPES public registry.