MARC ANDREW ELLSWORTH MD
NPI 1609171115
Pediatrics - Neonatal-Perinatal Medicine in Gilbert, AZ
NPI Status: Active since January 13, 2011
Contact Information
3420 S MERCY RD STE 205
GILBERT, AZ
ZIP 85297
Phone: (602) 933-6345
- Individual
- Male
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About MARC ELLSWORTH
This page provides the complete NPI Profile along with additional information for Marc Ellsworth, a pediatrician established in Gilbert, Arizona with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1609171115 assigned on January 2011. The practitioner's primary taxonomy code is 2080N0001X with license number 51592 (AZ). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1609171115
- Provider Name
- MARC ANDREW ELLSWORTH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3420 S MERCY RD STE 205 GILBERT, AZ 85297
- Location Phone
- (602) 933-6345
- Mailing Address
- 3200 E CAMELBACK RD STE 250 PHOENIX, AZ 85018
- Mailing Phone
- (602) 933-1814
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-13-2011
- Last Update Date
- 12-09-2020
- Code Navigator
A pediatrician like Marc Ellsworth is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 4107 E Grove Cir
Mesa, AZ 85206
(585) 281-6935
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
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 51592
- License State
- AZ
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 54096 (MN) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue AdvanceHealth Bronze - MaricopaFocus Network - HMO
- Blue AdvanceHealth Gold - MaricopaFocus Network - HMO
- Blue AdvanceHealth Silver - MaricopaFocus Network - HMO
- Blue EverydayHealth Gold - MaricopaFocus Network - HMO
- Blue EverydayHealth Silver - MaricopaFocus Network - HMO
- Blue Portfolio HSA Bronze - MaricopaFocus Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - MaricopaFocus Network - HMO
- Blue StandardHealth Gold - MaricopaFocus Network - HMO
- Blue StandardHealth Silver - MaricopaFocus Network - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver 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 |
|---|---|---|---|
| ENROLLED | MEDICAID (05) | MN |
Medicare Participation & PECOS Enrollment Status
Marc Ellsworth 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
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: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
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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 | 6 | 0 | 9 | 1 | 7 | 1 | 1 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 2 | 7 | 2 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 2 + 7 + 2 + 1 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1609171115 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306076294 | DAVID BENNETT Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 3420 S MERCY RD STE 205 GILBERT, AZ 85297 (602) 933-3033 |
| 1255607263 | DR. KEVIN RYAN ELLSWORTH M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3420 S MERCY RD STE 205 GILBERT, AZ 85297 (602) 933-6345 |
| 1245431329 | AMY NORTON DPT Individual | Physical Therapist | 3420 S MERCY RD STE 205 GILBERT, AZ 85297 (602) 933-3033 |
| 1184674053 | DR. GREGORY CARL MARTIN M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3420 S MERCY RD STE 205 GILBERT, AZ 85297 (602) 933-6345 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609171115, enumerated in the NPI registry as an "individual" on January 13, 2011
The provider is located at 3420 S Mercy Rd Ste 205 Gilbert, Az 85297 and the phone number is (602) 933-6345
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medica,. 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
This NPI record was last updated on January 13, 2011. 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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