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DR. WLADISLAW V ELLIS M.D.
NPI 1992702039
Pain Medicine - Interventional Pain Medicine in Grass Valley, CA

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment
13847 MALLORY CT, GRASS VALLEY, CA 95949(510) 849-4703(530) 477-6092 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 16, 2018, Apr 27, 2017 (2 updates tracked since 2017).

About Dr. Wladislaw V Ellis M.d. NPPES

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

DR. WLADISLAW V ELLIS M.D. (NPI 1992702039) is an individual interventional pain medicine provider in Grass Valley, California, licensed in California (A24351) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Berkeley, and is a graduate of University Of California, Geffen School Of Medicine (1970).

NPPES Registry Identity

NPI1992702039
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. WLADISLAW V ELLISCredential: M.D.
Location Address13847 MALLORY CTGrass Valley, CA 95949
Mailing Address13847 Mallory CtGrass Valley, CA 95949-7658 · (510) 849-4703 · Fax (530) 477-6092
Phone(510) 849-4703
Fax(530) 477-6092
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1970
Enumeration DateJuly 5, 2005
Last NPPES UpdateNovember 16, 20182 updates tracked since enumeration
✔ NPI 1992702039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in CA · A24351
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
13847 MALLORY CT, Grass Valley, CA 95949
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Secondary Practice Location 1

Location 11220 Oxford StBerkeley, CA 94709-1423 · Phone (510) 849-4703 · Fax (510) 849-4995

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Wladislaw V Ellis M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204934102
PECOS Enrollment IDI20070530000508
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415
This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
90 services11 patients
Injection of anesthetic agent into thoracic vertebra using imaging guidance, single site 64461
This procedure involves injecting a numbing agent into your thoracic vertebra, the mid-section of your spine. Using real-time imaging, the doctor accurately targets the exact location for the injection. This helps to alleviate pain or prepare you for surgery.
90 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95949 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Wladislaw Ellis's NPI number?

The NPI number for Wladislaw Ellis is 1992702039. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Wladislaw Ellis located?

Wladislaw Ellis practices at 13847 Mallory Ct, Grass Valley, CA 95949. The listed phone number is (510) 849-4703.

What is Wladislaw Ellis's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Wladislaw Ellis enrolled in Medicare?

Yes. Wladislaw Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Wladislaw Ellis was last updated on November 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.