MICHAEL GARY ELLMAN MD
NPI 1245339977
Specialist in Mesquite, TX
NPI Status: Active since September 21, 2006
Contact Information
2692 N GALLOWAY
402
MESQUITE, TX
ZIP 75150
Phone: (972) 682-3909
Fax: (972) 682-9289
- Individual
- Male
- Specialist
- Accepts Insurance
- PECOS Enrolled
About MICHAEL ELLMAN
This page provides the complete NPI Profile along with additional information for Michael Ellman, a provider established in Mesquite, Texas with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1245339977 assigned on September 2006. The practitioner's primary taxonomy code is 174400000X with license number J3092 (TX). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1245339977
- Provider Name
- MICHAEL GARY ELLMAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2692 N GALLOWAY 402 MESQUITE, TX 75150
- Location Phone
- (972) 682-3909
- Location Fax
- (972) 682-9289
- Mailing Address
- PO BOX 850304 MESQUITE, TX 75185
- Mailing Phone
- (972) 682-3909
- Mailing Fax
- (972) 682-9289
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-21-2006
- Last Update Date
- 05-20-2008
- Code Navigator
Location Map
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- J3092
- License State
- TX
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - 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.
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 |
|---|---|---|---|
| G14523 | MEDICARE UPIN (02) | TX | |
| 8F6922 | MEDICARE PIN (08) | TX | |
| 00538L | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | |
| 12249902 | MEDICAID (05) | TX |
Medicare Participation & PECOS Enrollment Status
Michael Ellman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MICHAEL GARY ELLMAN MD
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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. | |||||||||
| 1 | 2 | 4 | 5 | 3 | 3 | 9 | 9 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 6 | 3 | 18 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 6 + 3 + 1 + 8 + 9 + 1 + 4 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1245339977 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831144534 | DR. ANDREW DAVID MERKIN MD Individual | Internal Medicine | 2692 N GALLOWAY SUITE 403 MESQUITE, TX 75150 (972) 686-9339 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245339977, enumerated in the NPI registry as an "individual" on September 21, 2006
The provider is located at 2692 N Galloway 402 Mesquite, Tx 75150 and the phone number is (972) 682-3909
The provider's speciality is Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
This NPI record was last updated on September 21, 2006. 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].
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