Amy L Ellenbogen, MD
Amy L Ellenbogen is a Diagnostic Radiology Physician provider (Radiology) practicing in Charlottesville, VA, registered in the NPPES registry with NPI 1336584101 since 2013. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336584101 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Amy L Ellenbogen |
| Credential | MD |
| Sex | Female |
| Practice address | 1215 LEE ST, Charlottesville, VA, 22908 |
| Phone | 4349249400 |
| Fax | 4349821618 |
| Enumeration date | 2013-05-07 |
| Last updated in NPPES | 2021-07-30 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Primary | 0101266797 | VA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Amy Ellenbogen, MD NPI: 1336584101 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 1215 LEE ST, Charlottesville, VA, 22908
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1306763388 | Catherine Herman | Individual | Pharmacist | Charlottesville, VA |
| 1609793876 | Alyssa Conrad | Individual | Physician Assistant | Charlottesville, VA |
| 1871596163 | Paul Kruszka | Individual | Clinical Genetics (M.D.) Physician | Charlottesville, VA |
| 1760486328 | Kirk Tanner | Individual | Certified Registered Nurse Anesthetist | Charlottesville, VA |
| 1871598003 | Clairmonte Griffith | Individual | Certified Registered Nurse Anesthetist | Charlottesville, VA |
| 1740285642 | Jane Mason | Individual | Anesthesiology Physician | Charlottesville, VA |
| 1548266612 | Kathy Frase | Individual | Certified Registered Nurse Anesthetist | Charlottesville, VA |
| 1427055011 | Thedra Nichols | Individual | Family Nurse Practitioner | Charlottesville, VA |
Verify this record
Cross-check NPI 1336584101 against the authoritative CMS record: view Amy L Ellenbogen on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-07-30.