ROBERT E ELLIS MD
NPI 1154465276
Internal Medicine in Louisville, KY

NPI Status: Active since February 20, 2007

Contact Information

9115 LEESGATE RD
SUITE C
LOUISVILLE, KY
ZIP 40222
Phone: (502) 719-0782
Fax: (502) 719-0787

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  • Organization
  • Internal Medicine
  • Accepts Insurance

About ROBERT E ELLIS MD

This page provides the complete NPI Profile along with additional information for Robert E Ellis Md, an internist established in Louisville, Kentucky operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1154465276 assigned on February 2007. The practitioner's primary taxonomy code is 207R00000X with license number 19194 (KY). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Robert E Ellis M.d. (President)

NPI
1154465276
Provider Name
ROBERT E ELLIS MD
Entity Type
Organization
Location Address
9115 LEESGATE RD SUITE C LOUISVILLE, KY 40222
Location Phone
(502) 719-0782
Location Fax
(502) 719-0787
Mailing Address
9115 LEESGATE RD SUITE C LOUISVILLE, KY 40222
Mailing Phone
(502) 719-0782
Mailing Fax
(502) 719-0787
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2007
Last Update Date
08-13-2009
Code Navigator

An internist like Robert E Ellis Md 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.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
19194
License State
KY
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROBERT E ELLIS M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(502) 719-0782

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6141MEDICARE PIN (08)KY 
2441036000OTHER (01)KYPASSPORT ADVANTAGE
CH0800OTHER (01)KYMEDICARE RR
1172028OTHER (01)KYPASSPORT HEALTH PLAN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154465276
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211048610214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 8 + 6 + 1 + 0 + 2 + 1 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1154465276 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427006816MR. ROBERT ELLSWORTH ELLIS M.D.
Individual
Internal Medicine9115 LEESGATE RD SUITE C
LOUISVILLE, KY 40222
(502) 719-0782
1225049513DR. GERLINDA LEIGH LOWREY M.D.
Individual
Internal Medicine9115 LEESGATE RD SUITE A
LOUISVILLE, KY 40222
(502) 429-8011
1962467183 JAMES P EPLEY ARNP
Individual
Nurse Practitioner9115 LEESGATE RD SUITE A
LOUISVILLE, KY 40222
(502) 429-8011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154465276, enumerated in the NPI registry as an "organization" on February 20, 2007

The provider is located at 9115 Leesgate Rd Suite C Louisville, Ky 40222 and the phone number is (502) 719-0782

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.