Dr John Ellis, DO - Medicare Emergency Medicine in Bronx, NY

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Dr John Ellis, DO is a medicare enrolled "Emergency Medicine" physician in Bronx, New York. He graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Berkeley Emergency Medical Group Inc, Cep America - California and his current practice location is 4422 Third Ave, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 960-9000.

Dr John Ellis is licensed to practice in California (license number 22891) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003221037.

Contact Information

Dr John Ellis, DO
4422 Third Ave,
Bronx, NY 10457
(718) 960-9000
Not Available

Map and Direction




Physician's Profile

Full NameDr John Ellis
GenderMale
SpecialityEmergency Medicine
Experience11 Years
Location4422 Third Ave, Bronx, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Ellis graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1003221037
  • Provider Enumeration Date: 06/28/2014
  • Last Update Date: 11/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7012244882
  • Enrollment ID: I20241217003840

Medical Identifiers

Medical identifiers for Dr John Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003221037NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 160849 (Montana)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine OS15644 (Florida)Secondary
207P00000XEmergency Medicine 22891 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alta Bates Summit Medical CenterOakland, CAHospital
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CAHospital
Sutter Delta Medical CenterAntioch, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Berkeley Emergency Medical Group Inc589069753640
Cep America - California61037391311093

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John Ellis allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameBerkeley Emergency Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508874454
PECOS PAC ID: 5890697536
Enrollment ID: O20040123000216

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Ellis, DO
6751 Eagle Ridge Blvd,
Lakeland, FL 33813-5636

Ph: (727) 417-6369		Dr John Ellis, DO
4422 Third Ave,
Bronx, NY 10457

Ph: (718) 960-9000

Reviews and Comments


Emergency Medicine Doctors in Bronx, NY

Dr. Thomas Henry Parry, M.D.
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Practice Location: 234 E 149th St, Bronx, NY 10451
Phone: 718-579-6010    
Dr. Sarah G Jamison, MD
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Phone: 718-918-5820    
May Yee Helman, M.D.
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Practice Location: 1650 Grand Concourse, Bronx, NY 10457
Phone: 718-992-7669    
Dr. Angelica Rosa Angiulli, MD
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Practice Location: 1825 Eastchester Rd, Bronx, NY 10461
Phone: 718-904-2904    
Dr. Patrick Spencer Eiben, M.D.
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Practice Location: 1400 Pelham Pkwy S, Building 6//suite B125, Bronx, NY 10461
Phone: 718-918-5820    
Nai Li, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4422 3rd Ave, Bronx, NY 10457
Phone: 718-960-9000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.