DR. MICHAEL JOSEPH ELLIS D.O.
NPI 1972986693
Internal Medicine in Tinton Falls, NJ
About Dr. Michael Joseph Ellis D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL JOSEPH ELLIS D.O. (NPI 1972986693) is an individual internal medicine provider in Tinton Falls, New Jersey, licensed in New Jersey (25MB10268400) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Michael Joseph Ellis D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Michael Ellis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tinton Falls, NJ 07753
- Reassigned Medicare billing, New Jersey enrollment
Neptune, NJ 07753
- Reassigned Medicare billing, New Jersey enrollment
- 2 clinicians in this Medicare group
Ida Grove, IA 51445
- Reassigned Medicare billing, South Dakota enrollment
- 826 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 07753 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 2
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 Michael Ellis's NPI number?
The NPI number for Michael Ellis is 1972986693. It was assigned to this individual provider in the NPPES registry on June 30, 2015.
Where is Michael Ellis located?
Michael Ellis practices at 4057 Asbury Ave Ste 21, Tinton Falls, NJ 07753. The listed phone number is (848) 217-2662.
What is Michael Ellis's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Michael Ellis enrolled in Medicare?
Yes. Michael Ellis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Michael Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ellis reassigns Medicare benefits to 3 organizations: Keep Glowing Ct3 (Tinton Falls, NJ), Integrated Wellness Consulting LLC (Neptune, NJ) and Sanford Clinic (Ida Grove, IA). Each 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 Michael Ellis'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 Michael Ellis was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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. Michael Joseph Ellis, D.O. · NPI 1972986693
Internal Medicine physician in Tinton Falls, New Jersey. Individual provider, active in the CMS NPPES registry since June 30, 2015.
## Identity
- **NPI:** 1972986693 (Entity type: Individual)
- **Enumerated:** June 30, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MB10268400 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4057 ASBURY AVE STE 21, Tinton Falls, NJ 07753-7700
- **Phone:** (848) 217-2662
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Keep Glowing Ct3 (NPI 1912852104, Tinton Falls, NJ); Integrated Wellness Consulting LLC (NPI 1013806348, Neptune, NJ); Sanford Clinic (NPI 1265457964, Ida Grove, IA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1972986693) · Data from the CMS NPPES public registry.