LISA L ELLIS M.D. NPI 1972508950

Internal Medicine in Richmond, VA

NPI 1972508950 Individual Female Years of Experience 21 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About LISA ELLIS

Lisa Ellis is an internal medicine provider established in Richmond, Virginia and her medical specialization is internal medicine with more than 21 years of experience. She graduated from Virginia Commonwealth University, School Of Medicine in 2001. The NPI number of Lisa Ellis is 1972508950 and was assigned on June 2005. The practitioner's primary taxonomy code is 207R00000X with license number 0101234748 (VA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

An internist like Lisa L Ellis M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Lisa Ellis is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Lisa Ellis is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Medical College Of Virginia Hospitals.

NPI

1972508950

Provider Name LISA L ELLIS M.D.
Provider Location Address1250 E MARSHALL ST OB/GYN RICHMOND, VA 23298
Provider Mailing AddressPO BOX 91734 RICHMOND, VA 23291
GenderFemale
NPI Entity TypeIndividual
Medical School NameVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-16-2005
Last Update Date02-26-2010


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.0101234748
License StateVA
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

LISA L ELLIS M.D.
1250 E MARSHALL ST
OB/GYN
RICHMOND, VA
ZIP 23298
Phone: (804) 560-8950
Fax: (804) 560-7343

Get Directions


Mailing Address

LISA L ELLIS M.D.
PO BOX 91734
RICHMOND, VA
ZIP 23291
Phone: (804) 358-6100
Fax: (804) 342-7619



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7214996370
PECOS Enrollment IDI20100518000110
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lisa Ellis is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MEDICAL COLLEGE OF VIRGINIA HOSPITALSBOX 980510 1250 EAST MARSHALL STREET
RICHMOND, VA 23298
(804) 828-0938Acute Care Hospitals490032

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine5468SDNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
I7456MEDICARE UPIN (02)
S42521MEDICARE PIN (08)SD
S100515MEDICARE PIN (08)SD
P00214862MEDICARE PIN (08)SD
6004870MEDICAID (05)SD

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154329886 JAMES L EVANS MD
Individual
Psychiatry & Neurology (Psychiatry)1250 E MARSHALL ST PSYCHIATRY
RICHMOND, VA 23298
(804) 828-3129
1437159316 ANTHONY D CASSANO M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1250 E MARSHALL ST SURGERY
RICHMOND, VA 23298
(804) 828-4620
1912908922MR. STEVEN S RABINOWITZ CRNA
Individual
Nurse Anesthetist, Certified Registered1250 E MARSHALL ST ANESTHESIA CRNA
RICHMOND, VA 23298
(804) 628-6990
1780679688 ROBERT GLASSER MD
Individual
Internal Medicine (Hematology)1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 828-6938
1154316016 STEVEN HOVIS CROSSMAN MD
Individual
Family Medicine1250 E MARSHALL ST FAMILY MEDICINE
RICHMOND, VA 23298
(804) 828-5883
1992786529DR. KEVIN BRADFORD HOOVER MD PHD
Individual
Radiology (Diagnostic Radiology)1250 E MARSHALL ST RADIOLOGY
RICHMOND, VA 23298
(804) 628-3580
1912981093 DEBRA GADDY COHEN NP
Individual
Nurse Practitioner (Pediatrics)1250 E MARSHALL ST PEDIATRICS
RICHMOND, VA 23298
(804) 828-9605
1124002894 NAN G. O'CONNELL M.D.
Individual
Specialist1250 E MARSHALL ST OB/GYN
RICHMOND, VA 23298
(804) 560-8950
1902883176 AMIR TOOR MD
Individual
Internal Medicine (Hematology & Oncology)1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 628-4463
1023096195DR. PONJOLA CONEY M.D.
Individual
Obstetrics & Gynecology1250 E MARSHALL ST OB/GYN
RICHMOND, VA 23298
(804) 828-4409
1104804129 PATRICIA MARIE SELIG N.P.
Individual
Nurse Practitioner (Family)1250 E MARSHALL ST MAIN HOSPITAL NURSING ADMINISTRATION
RICHMOND, VA 23298
(804) 828-4928
1679552533 MARTHA PURVIS NP
Individual
Nurse Practitioner (Family)1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 828-5306
1487628848DR. DANIELLE MARIE NOREIKA M.D.
Individual
Internal Medicine1250 E MARSHALL ST IM: PALLIATIVE CARE
RICHMOND, VA 23298
(804) 628-1295
1184699522 TIMOTHY E BUNCHMAN MD
Individual
Pediatrics (Pediatric Nephrology)1250 E MARSHALL ST PEDIATRICS
RICHMOND, VA 23298
(804) 828-3744
1063487437 ANNA K NIZINSKI NP
Individual
Nurse Practitioner1250 E MARSHALL ST SURGERY
RICHMOND, VA 23298
(804) 828-9726
1225004369DR. SALIM A DAHLVANI MD
Individual
Psychiatry & Neurology (Geriatric Psychiatry)1250 E MARSHALL ST PSYCHIATRY
RICHMOND, VA 23298
(804) 828-4570
1073581963 MACIEJ TYMOWSKI MD
Individual
Emergency Medicine1250 E MARSHALL ST EMERGENCY DEPARTMENT
RICHMOND, VA 23298
(804) 828-7738
1356300552MR. LANCE J HAMPTON M.D.
Individual
Urology1250 E MARSHALL ST SURGERY
RICHMOND, VA 23298
(804) 828-8146
1871555680DR. RACHEL R WALLER M.D.
Individual
Internal Medicine1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 828-9357
1336104033DR. MARGARET M SANDERS M.D.
Individual
Radiology (Diagnostic Radiology)1250 E MARSHALL ST RADIOLOGY-DIAGNOSTIC RADIOLOGY
RICHMOND, VA 23298
(804) 828-6600

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.