DOUGLAS R ELLIS MD
NPI 1992790786
Family Medicine in Monticello, IL

Active since September 17, 2005
1002 MEDICAL CENTER DR, FAMILY MEDICINE, MONTICELLO, IL 61856(217) 762-2518(217) 762-5261 Get Directions Write a Review

NPPES record last updated: April 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas R Ellis Md NPPES

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

DOUGLAS R ELLIS MD (NPI 1992790786) is an individual family medicine provider in Monticello, Illinois, licensed in Illinois (036-081822) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1992790786
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOUGLAS R ELLISCredential: MD
Location Address1002 MEDICAL CENTER DR, FAMILY MEDICINEMonticello, IL 61856-2116
Mailing AddressPo Box 6002Urbana, IL 61803-6002 · (217) 326-8630
Fax(217) 762-5261
Sole ProprietorNo
Enumeration DateSeptember 17, 2005
Last NPPES UpdateApril 24, 2013
NPI 1992790786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036-081822
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1002 MEDICAL CENTER DR, Monticello, IL 61856

Other Identifiers 2

Medicare UPINE94405IL
Medicare ID-Type Unspecified455280IL

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
Family Medicine
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
Durable Medical Equipment & Medical Supplies
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
Family Medicine
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
Physician Assistant
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
Emergency Medicine
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
Nurse Practitioner (Family)
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
Nurse Practitioner
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856

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 Douglas Ellis's NPI number?

The NPI number for Douglas Ellis is 1992790786. It was assigned to this individual provider in the NPPES registry on September 17, 2005.

Where is Douglas Ellis located?

Douglas Ellis practices at 1002 Medical Center Dr Family Medicine, Monticello, IL 61856. The listed phone number is (217) 762-2518.

What is Douglas Ellis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Douglas Ellis was last updated on April 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.